Mrs Devin Patricia Henderson, LCSW is a
Social Worker based in Peoria, Illinois. Mrs Devin Patricia Henderson is licensed to practice in Illinois (license number 149.020216) and her current practice location is
7617 N Villa Wood Ln, Peoria, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 693-8200.
NPI number for Mrs Devin Patricia Henderson is 1093188070 and her current mailing address is 7617 N Villa Wood Ln, Peoria, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093188070.
Healthcare Provider's Profile
| Full Name | Mrs Devin Patricia Henderson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 7617 N Villa Wood Ln, Peoria, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093188070
- Provider Enumeration Date: 11/12/2015
- Last Update Date: 04/08/2020
Medical Identifiers
Medical identifiers for Mrs Devin Patricia Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093188070 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 149.020216 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Devin Patricia Henderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Devin Patricia Henderson, LCSW 7617 N Villa Wood Ln, Peoria, IL 61614-1588 Ph: (309) 693-8200 | Mrs Devin Patricia Henderson, LCSW 7617 N Villa Wood Ln, Peoria, IL 61614-1588 Ph: (309) 693-8200 |
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