Doctor Name: | SCHARLYN R HENDERSON |
NPI Number: | 1003057662 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 18192 |
Business Practice Address: | 1500 Cooper St Fort Worth, TX - 761042710 |
Business Phone Number: | 6828851475 |
Business Fax Number: | 6828857520 |
Mailing Address: | Po Box 99213, FORT WORTH |
State: | TX |
Postal Code: | 761990213 |
Phone Number: | 6828854871 |
Fax Number: | 6828853936 |
NPI Enumeration Date: | 03/11/2009 |
NPI Last Update Date: | 03/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 18192 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |