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

Individual provider Clinical Social Worker · NPI 1639566466

Coleen Henderson, LISW-S is a Clinical Social Worker in Dayton, Ohio. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
15
Licensed in
OH
In the registry since
2015
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Practice location Address checks out

1055 E Centerville Station Rd
Dayton, OH 45459-5500
Phone: (937) 241-6403
Fax: (937) 439-2984
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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 I.1700205-SUPV (OH)

Record details

NPI number1639566466
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorNo
NPI enumeratedApril 20, 2015
Last updated in NPPESApril 19, 2023
Certification dateApril 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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