Ebonie Nicole Henderson, LCSW
NPI 1730367616ActiveIndividual· Social Worker, Clinical· Tigard, OR
Social Worker, Clinical (LCSW) with Sequim Counseling LLC, practicing in Tigard, Oregon. Medicare paid $11,849 for services to 20 patients in 2024.
Overview
| NPI | 1730367616 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Feb 4, 2008 |
| Last updated in NPPES | Nov 5, 2026 |
| Certified by provider | Nov 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | C006788 | NC |
| Social Worker, Clinical | 1041C0700X | LW.61165774 | WA |
| Social Worker, Clinical | 1041C0700X | 175328 | AK |
| Social Worker, Clinical | 1041C0700X | 12243352-3501 | UT |
| Social Worker, Clinical | 1041C0700X | L12410 | OR |
| Social Worker, Clinical | 1041C0700X | CSW.09927291 | CO |
| Social Worker, Clinical | 1041C0700X | 11897 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (AK); Practitioner - Clinical Social Worker (CO); Practitioner - Clinical Social Worker (NC); Practitioner - Clinical Social Worker (OR); Practitioner - Clinical Social Worker (SC); Practitioner - Clinical Social Worker (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 153 across 2 procedure codes |
| Paid by Medicare | $11,849 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Sequim Counseling LLCSequim, WA · 9 clinicians
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All 97 clinical social workers in Tigard · All clinical social workers in Oregon