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Active NPI 1962740035 Individual Practitioner Female Practitioner

Myra Anita Henderson , LISW-SUPV

Social Worker - Clinical • Wickliffe, OH

Professional Overview & Biography Verified Profile Summary

Myra Henderson, LISW-SUPV is a registered healthcare professional specializing in Social Worker - Clinical in Wickliffe, OH. Practice services are available at 29343 EUCLID AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

29343 Euclid Ave

Wickliffe, OH 440921958

Telephone 2162990398

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Wickliffe, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Wickliffe, OH (10077 Statewide)

Telehealth Adoption Rate
0.0% 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

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License OH I0007669 SUPV

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Secondary Practice Locations

966 E 146th St

Cleveland, OH 441103729

Phone: 2168511853

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active October 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2017

Registered at 29343 EUCLID AVE, WICKLIFFE, OH 440921958 (Tel: 2162990398)

📍
Updated Business Mailing Address October 11, 2017

Registered at 3707 BELMONT RD, WOODMERE, OH 441224509 (Tel: 2162990398)

👤
Provider Name / Credentials Updated October 11, 2017

Recorded as MYRA HENDERSON, LISW-SUPV

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2017

Social Worker (License #I0007669 SUPV in OH)

NPI Profile Active January 26, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2013

Registered at 966 E 146TH ST, CLEVELAND, OH 441103729 (Tel: 2168511853)

📍
Updated Business Mailing Address January 26, 2013

Registered at 3707 BELMONT RD, WOODMERE, OH 441224509 (Tel: 2162990398)

👤
Provider Name / Credentials Updated January 26, 2013

Recorded as MYRA HENDERSON, LISW-SUPV

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2013

Social Worker (License #I0007669 SUPV in OH)

🟢
Initial NPI Registration & Enumeration January 24, 2013

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: 1962740035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2013
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

3707 Belmont Rd

Woodmere, OH 441224509

Phone: 2162990398

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.