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

Individual provider Clinical Social Worker · NPI 1689623969

Taryll Henderson, LCSW is a Clinical Social Worker in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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

403 E Madison St
South Bend, IN 46617-2322
Phone: (574) 283-1107
Fax: (574) 283-1131
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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 34004814A (IN)

Record details

NPI number1689623969
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 6, 2006
Last updated in NPPESJuly 13, 2026

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