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SHADOURES HENDERSON C-SSW
NPI 1720957293
Social Worker - School in Charlottesville, VA

Active since November 03, 2025
1400 MELBOURNE RD, CHARLOTTESVILLE, VA 22901(434) 245-2410 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shadoures Henderson C-ssw NPPES

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

SHADOURES HENDERSON C-SSW (NPI 1720957293) is an individual school provider in Charlottesville, Virginia, licensed in Virginia (PROV-0667224) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1720957293
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NameSHADOURES HENDERSONCredential: C-SSW
Location Address1400 MELBOURNE RDCharlottesville, VA 22901-3148
Mailing Address545 Burgoyne Rd Unit 4Charlottesville, VA 22901-2697
Phone(434) 245-2410
Sole ProprietorNo
Enumeration DateNovember 3, 2025
NPPES CertifiedNovember 3, 2025
✔ NPI 1720957293 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 VA · PROV-0667224
1400 MELBOURNE RD, Charlottesville, VA 22901
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Other Providers at the Same Location NPPES 8

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

KATHLEEN DOYLE WATT LCSW
Social Worker (Clinical)
1400 MELBOURNE RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 245-2410
JESSICA HARRIS
Psychologist (School)
1400 MELBOURNE RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 245-2400
MS. REBECCA DANIELLE PARKS M.ED., CF-SLP
Speech-Language Pathologist
1400 MELBOURNE RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 363-0823
MRS. LEIGH MAZZONE LCSW
Social Worker (Clinical)
1400 MELBOURNE RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 245-2811
CARLA M BETANCOURT
Specialist/Technologist (Athletic Trainer)
1400 MELBOURNE RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 566-8196
TIFFANY SCOTT LCSW
Social Worker (Clinical)
1400 MELBOURNE RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 227-8351
JANE E EVANS MSW
Counselor (Mental Health)
1400 MELBOURNE RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 245-2656
MISS LEAH M PURPURA ED.S.
Psychologist (School)
1400 MELBOURNE RD
CHARLOTTESVILLE, VA 22901
Albemarle County (424) 245-2598

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 Shadoures Henderson's NPI number?

The NPI number for Shadoures Henderson is 1720957293. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Where is Shadoures Henderson located?

Shadoures Henderson practices at 1400 Melbourne Rd, Charlottesville, VA 22901. The listed phone number is (434) 245-2410.

What is Shadoures 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 Shadoures Henderson was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.