| Mrs Michele Elizabeth Henderson, LICSW | |
|
33 Union St, Suite 20 & 25, S Weymouth, MA 02190-2314 | |
| (617) 786-7484 | |
| Not Available |
| Full Name | Mrs Michele Elizabeth Henderson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 33 Union St, S Weymouth, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508913997 | NPI | - | NPPES |
| 1892908 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1026642 (Massachusetts) | Primary |
| Entity Name | Henderson Therapy & Consulting Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851542153 PECOS PAC ID: 4082782628 Enrollment ID: O20081008000781 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Michele Elizabeth Henderson, LICSW 33 Union St, Suite 20 & 25, S Weymouth, MA 02190-2314 Ph: (617) 786-7484 | Mrs Michele Elizabeth Henderson, LICSW 33 Union St, Suite 20 & 25, S Weymouth, MA 02190-2314 Ph: (617) 786-7484 |
Larissa Crane, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Fogg Rd, S Weymouth, MA 02190 Phone: 781-340-4074 | |
Ms. Moira Wilcox, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 541 Main St, Suite 217, S Weymouth, MA 02190 Phone: 617-435-7088 | |
Emma J Penti Sullivan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Fogg Rd, S Weymouth, MA 02190 Phone: 781-624-4697 |