Individual ProviderRachael HendersonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1910 Madison Ave, Memphis, TN 38104-2620(901) 871-8214PECOS EnrollmentBased on the most recent information from CMS, provider Rachael Henderson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1467184218Provider TypeIndividualFull NameHenderson, RachaelCredentialLMSW, LCSWGenderFemaleSole ProprietorNoEnumeration Date6/29/2022Last Updated8/5/2024Contact InformationPractice LocationPractice Address1910 Madison Ave, Memphis, TN 38104-2620Phone(901) 871-8214FaxUnlisted FaxMailing LocationMailing Address5910 Steeplechase Dr, Bartlett, TN 38134-5500Phone(901) 871-8214FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense9169TennesseeCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense11957Tennessee