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

Mareon Vincent Henderson, LICSW

Individual provider Clinical Social Worker · NPI 1346831344

Mareon Vincent Henderson, LICSW is a Clinical Social Worker in Issaquah, Washington. Licensed in Washington. Registered with an NPI since 2021.

Licensed in
WA
In the registry since
2021
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

310 3rd Ave NE Ste 109
Issaquah, WA 98027-3346
Phone: (425) 659-3010
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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 LW60765136 (WA)

Record details

NPI number1346831344
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 1, 2021
Last updated in NPPESFebruary 1, 2021
Certification dateFebruary 1, 2021

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