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

Mrs. Myra Anita Henderson, LISW-SUPV

Individual provider Clinical Social Worker · NPI 1962740035

Mrs. Myra Anita Henderson, LISW-SUPV is a Clinical Social Worker in Wickliffe, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2013

Practice location Address checks out

29343 Euclid Ave
Wickliffe, OH 44092-1958
Phone: (216) 299-0398
Show map & directions

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

Additional practice locations (1)

  • 966 E 146th St, Cleveland, OH 44110-3729 — (216) 851-1853

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I0007669 SUPV (OH)

Record details

NPI number1962740035
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-SUPV
Sole proprietorNo
NPI enumeratedJanuary 24, 2013
Last updated in NPPESMarch 17, 2018

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