LATUNDRA HENDERSON LISW, LICDC
NPI 1326599663
Social Worker - Clinical in Mentor, OH

Q: What is Latundra Henderson's NPI number?

The NPI number for Latundra Henderson is 1326599663. It was assigned to this individual provider in the NPPES registry on October 21, 2016.

Q: What is Latundra Henderson's specialty?

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

Active since October 21, 2016PECOS Enrolled

7232 JUSTIN WAY, MENTOR, OH 44060(440) 578-8200 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 28, 2022, Jan 28, 2021, Dec 21, 2020 and 1 more (4 updates tracked since 2016).

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About Latundra Henderson Lisw, Licdc NPPES

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

LATUNDRA HENDERSON LISW, LICDC (NPI 1326599663) is an individual clinical provider in Mentor, Ohio, licensed in Ohio (I.2002418-SUPV) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326599663

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameLATUNDRA HENDERSONCredential: LISW, LICDC

Location Address7232 JUSTIN WAYMentor, OH 44060-4881

Mailing Address7232 Justin WayMentor, OH 44060-4881 · (440) 578-8200

Phone(440) 578-8200

Sole ProprietorYes

Enumeration DateOctober 21, 2016

Last NPPES UpdateJanuary 28, 20224 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2022

✔ NPI 1326599663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OH · I.2002418-SUPV

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LICDC161330 (OH)

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License S1600147 (OH)

7232 JUSTIN WAY, Mentor, OH 44060

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Other Identifiers 1

Medicaid0423502OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latundra Henderson Lisw, Licdc 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.

Medicare Billing Reassignments

Medicare enrollment records show Latundra Henderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signature Health, Inc

2.6 mi

Mental Health (Including Community Mental Health Center)

38876 MENTOR AVE
Willoughby, OH 44094

Reassigned Medicare billing, Ohio enrollment
342 clinicians in this Medicare group

NPI 1477575348 (440) 953-9999

Your Precious Dreams LLC Inc

21 mi

Rehabilitation, Substance Use Disorder

1300 E 9TH ST STE 1210
Cleveland, OH 44114

Reassigned Medicare billing, Ohio enrollment

NPI 1770282220 (216) 867-7930

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44060 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 $54.34 – $166.65

Typical copayment $0.00 (range $13.58 – $41.66)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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. TIFFANY JONES M.D.

Psychiatry & Neurology (Psychiatry)