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

Mrs. Carol Henderson, LICDC

Individual provider Social Worker · NPI 1780036079

Mrs. Carol Henderson, LICDC is a Social Worker in Cortland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

3194 Deer Trl Unit B
Cortland, OH 44410-9113
Phone: (330) 502-8875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LICDC933722 (OH)
Social Worker Taxonomy 104100000X · Licence S0013966 (OH)

Record details

NPI number1780036079
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICDC
Sole proprietorYes
NPI enumeratedJuly 11, 2016
Last updated in NPPESJanuary 28, 2022
Certification dateJanuary 28, 2022

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