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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARYLL HENDERSON, LCSW

Active

TARYLL HENDERSON, LCSW is a Clinical Social Worker healthcare provider located in SOUTH BEND, Indiana. NPI 1689623969 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SOUTH BEND, IN

Registration Details

NPI Number
1689623969
Provider Type
Individual
Gender
Female
NPI Issued
May 6, 2006 (20.22977589925 yrs)
Last Updated
Jul 8, 2007
License
34004814A (IN)

Practice Information

Address
403 E MADISON ST
SOUTH BEND, IN, 466172322
Browse IN providers · Browse ZIP 46617
Phone
5742831107
Fax
5742831131
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SOUTH BEND, IN

Name Credential NPI
MRS. GWENDOLYN C DEHORN L.C.S.W 1245237114
MR. MARKUS K JACKSON LCSW 1518955434
MRS. LANI C VIVIRITO LCSW 1275521106
CHRISTINE F STACEY LCSW 1558359489
MRS. KATHY BYLER MSW 1104815034
MR. TODD HEIM LMHC 1154310084
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.