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

Ebonie Nicole Henderson

Individual provider Clinical Social Worker · NPI 1730367616

Ebonie Nicole Henderson is a Clinical Social Worker in Tigard, Oregon. Qualified in 2017, 9 years ago. Practices with Sequim Counseling LLC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2008
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7100 SW Hampton St Ste 223
Tigard, OR 97223-8364
Phone: (503) 342-2510
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C006788 (NC)

Record details

NPI number1730367616
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 4, 2008
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sequim Counseling Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Tigard