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JESSICA D HENDERSON LCSW
NPI 1053872721
Social Worker - Clinical in Boise, ID

Active since March 26, 2019PECOS Enrolled
444 W FORT ST FL 2, BOISE, ID 83702(208) 422-1018 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 6, 2023, Aug 18, 2023 (2 updates tracked since 2023).

About Jessica D Henderson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA D HENDERSON LCSW (NPI 1053872721) is an individual clinical provider in Boise, Idaho, licensed in Oregon (L7552) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053872721
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA D HENDERSONCredential: LCSW
Location Address444 W FORT ST FL 2Boise, ID 83702-4535
Mailing Address3944 Ne 15th AvePortland, OR 97212-1321 · (919) 280-9880
Phone(208) 422-1018
Sole ProprietorNo
Enumeration DateMarch 26, 2019
Last NPPES UpdateOctober 6, 20232 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1053872721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · L7552
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
444 W FORT ST FL 2, Boise, ID 83702
Open in Google Maps ↗

Other Names 1

Former Name (1)Jessica C Fisher Lcsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica D Henderson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAULA K BARRETT PSYD, LCSW
Psychologist (Clinical)
444 W FORT ST FL 2
BOISE, ID 83702
Ada County (208) 422-1018
MRS. JANELLE ELISE PETERSON LCSW
Social Worker (Clinical)
444 W FORT ST FL 2
BOISE, ID 83702
Ada County (208) 422-1018
DR. RUSSELL ANDREW MCCANN
Psychologist (Clinical)
444 W FORT ST FL 2
BOISE, ID 83702
Ada County (208) 422-1018
JA ANNA D GUILLORY FNP
Nurse Practitioner (Family)
444 W FORT ST FL 2
BOISE, ID 83702
Ada County (208) 422-1018
MS. REBEKAH M LEE PA-C
Physician Assistant
444 W FORT ST FL 2
BOISE, ID 83702
Ada County (208) 422-1018
DR. GENEVIEVE DAVIS PH.D.
Psychologist
444 W FORT ST FL 2
BOISE, ID 83702
Ada County (208) 422-1018
ANGELES L BALLOU FNP
Nurse Practitioner (Family)
444 W FORT ST FL 2
BOISE, ID 83702
Ada County (208) 422-1018
DR. JOAN MARIE SEARS O.D.
Optometrist
444 W FORT ST FL 2
BOISE, ID 83702
Ada County (208) 422-1018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Henderson's NPI number?

The NPI number for Jessica Henderson is 1053872721. It was assigned to this individual provider in the NPPES registry on March 26, 2019. The provider is also known as Jessica C Fisher Lcsw.

Where is Jessica Henderson located?

Jessica Henderson practices at 444 W Fort St Fl 2, Boise, ID 83702. The listed phone number is (208) 422-1018.

What is Jessica Henderson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jessica Henderson enrolled in Medicare?

Yes. Jessica Henderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Henderson was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.