Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093188070 Individual Practitioner Female Practitioner

Devin Patricia Henderson , LCSW

Social Worker • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Devin Henderson, LCSW is a registered healthcare professional specializing in Social Worker in Peoria, IL. Practice services are available at 7617 N VILLA WOOD LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7617 N Villa Wood Ln

Peoria, IL 616141588

Telephone 3096938200
Associated Practice Facility / Clinic
🏢 Joy Miller Facility NPI 1740471432

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
36 Specialists

Practicing in Peoria, IL (5960 Statewide)

Telehealth Adoption Rate
2.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-04-08
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License IL 149.020216

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Secondary Practice Locations

1510 W Ottawa Rd

Paxton, IL 609574090

Phone: 2173794302

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Debra Disney , LCPC

Counselor - Professional

NPI 1003131541

Licensed Clinical Professional Counselor

Ryan Potempa , MS, LMFT

Marriage & Family Therapist

NPI 1114441128

Master of Science, Licensed Marriage and Family Therapist

Terri Shafer , LCPC

Counselor - Professional

NPI 1124681655

Licensed Clinical Professional Counselor

NPI 1134185325

Licensed Clinical Social Worker

Karen Greene , LCPC

Counselor - Professional

NPI 1134419179

Licensed Clinical Professional Counselor

Judy Carlson , LCPC

Counselor - Professional

NPI 1184850968

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
👤
Provider Name / Credentials Updated April 08, 2020

Recorded as DEVIN HENDERSON, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2020

Counselor

📍
Updated Practice Location August 26, 2019

Registered at 7617 N VILLA WOOD LN, PEORIA, IL 616141588 (Tel: 3096938200)

📍
Updated Business Mailing Address August 26, 2019

Registered at 7617 N VILLA WOOD LN, PEORIA, IL 616141588 (Tel: 3096938200)

👤
Provider Name / Credentials Updated August 26, 2019

Recorded as DEVIN STUMPF, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2019

Social Worker (License #149.020216 in IL)

NPI Profile Active November 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 12, 2015

Registered at 1510 W OTTAWA RD, PAXTON, IL 609574090 (Tel: 2173794302)

📍
Updated Business Mailing Address November 12, 2015

Registered at 1510 W OTTAWA RD, PAXTON, IL 609574090 (Tel: 2173794302)

👤
Provider Name / Credentials Updated November 12, 2015

Recorded as DEVIN STUMPF

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2015

Counselor

🟢
Initial NPI Registration & Enumeration November 12, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093188070
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 12, 2015
Last Update: April 08, 2020
Sole Proprietor: No

Mailing Address

7617 N Villa Wood Ln

Peoria, IL 616141588

Phone: 3096938200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.