Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theresa M Henderson, PA

Organization Clinical Social Worker · NPI 1982979662

Theresa M Henderson, PA is a Clinical Social Worker in Brandon, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1210 Millennium Pkwy Ste 1035
Brandon, FL 33511-4861
Phone: (813) 716-0585
Fax: (813) 814-0448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW2072 (FL)

Record details

NPI number1982979662
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theresa Henderson — President · (813) 716-0585
NPI enumeratedMarch 14, 2012
Last updated in NPPESMarch 28, 2012
Mailing address9609 Woodbay Dr, Tampa, FL 33626-2422

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