Henderson, Katherine R
Henderson, Katherine R is an individual health care provider with primary practice located at 404 State Route 37 , Hogansburg NY 13655. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Henderson, Katherine R can be contacted via phone (518) 358-3141.Contact Information
Primary practice address
404 State Route 37
Hogansburg NY 13655
Phone: (518) 358-3141
Fax: (518) 358-9175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 003345-1 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 087071 | New York |
Profile Details
| NPI number | 1871663294 |
|---|---|
| LBN Legal business name | Henderson, Katherine R |
| Credentials | LMHC, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Jul 9th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871663294 | NPPES |
| North Carolina | Other | C008373 | NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD |
| North Carolina | Other | 003345 | NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD |
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