Individual provider · Type 1 NPI

Carlton Keith Henderson, LCSW

Clinical Social Worker · Memphis, TN

NPI number 1699854166 Active

Practice location

1384 Madison Avenue
Memphis, TN 38104

Fax (901) 726-4281

Mailing address

1384 Madison Ave
Memphis, TN 38104-2327

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XTN-048 (TN)
Clinical Social Worker 1041C0700X1939-C (AR)
Clinical Social Worker Primary 1041C0700X3661 (TN)

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 1699854166

Carlton Keith Henderson, LCSW's National Provider Identifier is 1699854166, issued on Nov 3, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Memphis, TN. The record was last updated on Feb 22, 2023.