Gregory A Henderson in Fond Du Lac - Clinical
Gregory A Henderson - NPI 1982826509
Gregory A Henderson is a Clinical in Fond Du Lac, Wisconsin. Gregory A Henderson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gregory A Henderson is 1982826509. The last update date is 2023-09-25.
Gregory A Henderson's current location address is 210 Wisconsin American Dr, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209077000. The mailing address for Gregory A Henderson is 210 Wisconsin American Dr, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory A Henderson |
|---|---|
| Address | 210 Wisconsin American Dr, Fond Du Lac, Wisconsin |
| Phone Number | 9209077000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1982826509 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2023-09-25 |
Provider Mailing Address Detail
| Address | 210 Wisconsin American Dr |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549372999 |
| Phone Number | 9209077000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6169-123 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100003960 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gregory A Henderson by the Centers for Medicare & Medicaid Services?
The Gregory A Henderson has been issued the NPI (National Provider Identifier) 1982826509, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Gregory A Henderson located?
The Gregory A Henderson is located at 210 Wisconsin American Dr, Fond Du Lac, WI 549372999.
What is the area of specialization for Gregory A Henderson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gregory A Henderson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date was the 1982826509 assigned to Gregory A Henderson?
The Gregory A Henderson was issued its 1982826509 on 2007-05-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Gregory A Henderson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gregory A Henderson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-09-25.