Organization · Type 2 NPI

Theresa M Henderson, PA

Clinical Social Worker · Brandon, FL

NPI number 1982979662 Active

Practice location

1210 Millennium Pkwy, Suite 1035
Brandon, FL 33511-4861

Call (813) 716-0585 Map

Fax (813) 814-0448

Mailing address

9609 Woodbay Dr
Tampa, FL 33626-2422

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW2072 (FL)

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 1982979662

Theresa M Henderson, PA's National Provider Identifier is 1982979662, issued on Mar 14, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brandon, FL. The record was last updated on Mar 28, 2012.