Individual provider · Type 1 NPI

Kimberly Michelle Henderson, LCSW

Clinical Social Worker · Rockford, IL

NPI number 1255956942 Active

Practice location

6392 Linden Rd
Rockford, IL 61109-2816

Call (779) 368-0060 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.030687 (IL)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1255956942

Kimberly Michelle Henderson, LCSW's National Provider Identifier is 1255956942, issued on Jun 9, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockford, IL. The record was last updated on Jan 6, 2026.