| Stephanie Henson, Msw, Lcsw, Llc | |
|
4972 Benchmark Centre Dr Ste 100 Swansea IL 62226-2070 | |
| (618) 420-7893 | |
| (618) 415-4090 |
| Full Name | Stephanie Henson, Msw, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4972 Benchmark Centre Dr Ste 100, Swansea, Illinois |
| Authorized Official Name and Position | Stephanie A Henson (SINGLE MEMBER OWNER) |
| Authorized Official Contact | 6187808847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Henson, Msw, Lcsw, Llc 5 Canna Dr Collinsville IL 62234-2303 Ph: (618) 780-8847 | Stephanie Henson, Msw, Lcsw, Llc 4972 Benchmark Centre Dr Ste 100 Swansea IL 62226-2070 Ph: (618) 420-7893 |
| NPI Number | 1538830419 |
|---|---|
| Provider Enumeration Date | 09/21/2021 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538830419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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