Individual provider · Type 1 NPI

Russell Lee Henderson, LCSW

Clinical Social Worker · Macon, GA

NPI number 1538366000 Active

Practice location

175 Emery Hwy
Macon, GA 31217-3692

Call (478) 751-4446 Map

Fax (478) 751-4444

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW001731 (GA)

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 1538366000

Russell Lee Henderson, LCSW's National Provider Identifier is 1538366000, issued on Jun 28, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Macon, GA. The record was last updated on Jul 8, 2007.