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

Mrs. Carol A Henderson

Individual provider Professional Counselor · NPI 1710331822

Mrs. Carol A Henderson is a Clinical Social Worker in Rocky Mount, Virginia. Qualified in 2012, 14 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
14
Licensed in
VA
In the registry since
2016
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Practice location Address checks out

30 Technology Dr
Rocky Mount, VA 24151-3008
Phone: (540) 483-5044
Fax: (276) 632-0995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701006515 (VA)

Record details

NPI number1710331822
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 15, 2016
Last updated in NPPESApril 15, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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