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

Mr. Ray Jamaal Herndon, LCSW

Individual provider Mental Health Counselor · NPI 1760611636

Mr. Ray Jamaal Herndon, LCSW is a Clinical Social Worker in Colorado Springs, Colorado. Qualified in 2020, 6 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
6
Licensed in
CO
In the registry since
2009
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone: (719) 365-7505
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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 CSW.09928508 (CO)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1760611636
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 13, 2009
Last updated in NPPESDecember 28, 2022
Certification dateDecember 28, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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