Provider Demographics
NPI:1477720324
Name:HENDERSON, ERIN (LSCSW)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:HENDERSON
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2649 SW ARROWHEAD RD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-2458
Mailing Address - Country:US
Mailing Address - Phone:785-233-0516
Mailing Address - Fax:785-271-4433
Practice Address - Street 1:2649 SW ARROWHEAD RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-2458
Practice Address - Country:US
Practice Address - Phone:785-233-0516
Practice Address - Fax:785-271-4433
Is Sole Proprietor?:No
Enumeration Date:2008-05-09
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS40451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical