| Sherry Henderson Msw Llc | |
|
911 Western Ave 399 Seattle WA 98104-3605 | |
| (206) 652-1278 | |
| (206) 621-7127 |
| Full Name | Sherry Henderson Msw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 911 Western Ave, Seattle, Washington |
| Authorized Official Name and Position | Sherry Marie Henderson (PRESIDENT) |
| Authorized Official Contact | 2066521278 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherry Henderson Msw Llc 911 Western Ave 399 Seattle WA 98104-3605 Ph: (206) 652-1278 | Sherry Henderson Msw Llc 911 Western Ave 399 Seattle WA 98104-3605 Ph: (206) 652-1278 |
| NPI Number | 1497148522 |
|---|---|
| Provider Enumeration Date | 03/13/2015 |
| Last Update Date | 03/13/2015 |
| Medicare PECOS PAC ID | 7810215449 |
|---|---|
| Medicare Enrollment ID | O20150411000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497148522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW00005275 (Washington) | Primary |
| Provider Name | Sherry M Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679597769 PECOS PAC ID: 8729138680 Enrollment ID: I20090615000577 |
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