COLEEN HENDERSON LISW-S
NPI 1639566466
Social Worker - Clinical in Dayton, OH

Q: What is Coleen Henderson's NPI number?

The NPI number for Coleen Henderson is 1639566466. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Q: What is Coleen Henderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Coleen Henderson was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 20, 2015PECOS EnrolledAccepts Medicare Assignment

1055 E CENTERVILLE STATION RD, DAYTON, OH 45459(937) 241-6403(937) 439-2984 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Coleen Henderson Lisw-s NPPES

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

COLEEN HENDERSON LISW-S (NPI 1639566466) is an individual clinical provider in Dayton, Ohio, licensed in Ohio (I.1700205-SUPV) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1639566466

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCOLEEN HENDERSONCredential: LISW-S

Location Address1055 E CENTERVILLE STATION RDDayton, OH 45459-5500

Mailing Address1055 E Centerville Station RdDayton, OH 45459-5500 · (937) 241-6403 · Fax (937) 439-2984

Phone(937) 241-6403

Fax(937) 439-2984

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateApril 20, 2015

Last NPPES UpdateApril 19, 2023

NPPES CertifiedApril 18, 2023

✔ NPI 1639566466 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 OH · I.1700205-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.

1055 E CENTERVILLE STATION RD, Dayton, OH 45459

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Coleen Henderson Lisw-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638455231

PECOS Enrollment IDI20230630002623

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 45459 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 9

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

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