Individual ProviderNicole HendersonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address10233 S Parker Rd Ste 203, Parker, CO 80134-9315(303) 805-2315(408) 656-4403PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Henderson is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1902402712Provider TypeIndividualFull NameHenderson, NicoleCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date12/7/2020Last Updated8/2/2023Contact InformationPractice LocationPractice Address10233 S Parker Rd Ste 203, Parker, CO 80134-9315Phone(303) 805-2315FaxUnlisted FaxMailing LocationMailing Address10224 W Geddes Cir, Littleton, CO 80127-3452Phone(408) 656-4403FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCSW.09927402Colorado