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KATHLEEN HENDERSON LBSW
NPI 1174007157
Social Worker - School in Bloomfield, NM

Active since September 17, 2018
310 LA JARA ST, BLOOMFIELD, NM 87413(505) 634-3863 Get Directions Write a Review

NPPES record last updated: September 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Henderson Lbsw NPPES

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

KATHLEEN HENDERSON LBSW (NPI 1174007157) is an individual school provider in Bloomfield, New Mexico, licensed in New Mexico (B-08513) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1174007157
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NameKATHLEEN HENDERSONCredential: LBSW
Location Address310 LA JARA STBloomfield, NM 87413-6626
Mailing Address310 La Jara StBloomfield, NM 87413-6626 · (505) 634-3863
Phone(505) 634-3863
Sole ProprietorYes
Enumeration DateSeptember 17, 2018
✔ NPI 1174007157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License✔ Licensed in NM · B-08513
310 LA JARA ST, Bloomfield, NM 87413
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

SHARLEE ASHLEY
Registered Nurse (School)
310 LA JARA ST
BLOOMFIELD, NM 87413
San Juan County (505) 634-3891
MRS. BERNADETTE DIANN ENRIQUEZ RN
Registered Nurse (School)
310 LA JARA ST
BLOOMFIELD, NM 87413
San Juan County (505) 634-3891
DOLORES ANN PYLES
Social Worker (School)
310 LA JARA ST
BLOOMFIELD, NM 87413
San Juan County (505) 634-3883
MRS. BERTHA ANN ROARK RN
Registered Nurse (School)
310 LA JARA ST
BLOOMFIELD, NM 87413
San Juan County (505) 634-3673
DEEANN STOTZ SLP
Speech-Language Pathologist
310 LA JARA ST
BLOOMFIELD, NM 87413
San Juan County (505) 634-3868

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 Kathleen Henderson's NPI number?

The NPI number for Kathleen Henderson is 1174007157. It was assigned to this individual provider in the NPPES registry on September 17, 2018.

Where is Kathleen Henderson located?

Kathleen Henderson practices at 310 La Jara St, Bloomfield, NM 87413. The listed phone number is (505) 634-3863.

What is Kathleen Henderson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

When was this NPI record last updated?

The NPPES record for Kathleen Henderson was last updated on September 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.