Provider Demographics
NPI:1063744308
Name:HENDERSON, VICTORIA CLAIRE (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:CLAIRE
Last Name:HENDERSON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MISS
Other - First Name:VICTORIA
Other - Middle Name:
Other - Last Name:FLEMING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:3019 MONROE AVE STE 200R
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-4600
Mailing Address - Country:US
Mailing Address - Phone:631-741-1610
Mailing Address - Fax:
Practice Address - Street 1:3019 MONROE AVE STE 200R
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-4600
Practice Address - Country:US
Practice Address - Phone:631-741-1610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY094526-011041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical