Active NPIIndividual providerSole proprietor

Mr. Alfonso M Henderson

Social Worker, Clinical in Newton, Massachusetts

NPI Number1396396305
Practice location
199 Wells Ave, Newton, MA 02459-3325
Fax
—
Last updated
March 13, 2025

Alfonso Mack Henderson is a Social Worker, Clinical based in Newton, MA. Alfonso Mack Henderson practices in Newton, MA. The NPI Number for Alfonso Mack Henderson is 1396396305 and holds a License No. 128637 (MA). The current practice location address for Alfonso Mack Henderson is 199 Wells Ave, Newton, MA 02459-3325 and can be reached out via phone at 774-766-8780.

Provider Profile Details

NPI Number
1396396305
Provider Name
Alfonso Mack Henderson
Provider Entity Type
Individual
Gender
Male
Address
199 Wells Ave, Newton, MA 02459-3325
Phone Number
774-766-8780
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 23, 2019
Last Update Date
March 13, 2025
Certification Date
March 13, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
199 Wells Ave
Newton, MA 02459-3325
City
Newton
Zip
02459-3325
Phone Number
774-766-8780
Newton, MA 02459Get directions →

Provider Business Mailing Address Details

Address
1612 Worcester RD Apt 618A
Framingham, MA 01702-5480
City
Framingham
State
MA
Zip
01702-5480
Phone Number
309-660-0134

License Information

License Number
128637
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Alfonso M Henderson?

The NPI number of Mr. Alfonso M Henderson is 1396396305. It was assigned on September 23, 2019 and is currently active in the NPPES registry.

What is the specialty of Mr. Alfonso M Henderson?

Mr. Alfonso M Henderson is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 128637.

Where does Mr. Alfonso M Henderson practice?

The practice location is 199 Wells Ave, Newton, MA 02459-3325. The office can be reached at 774-766-8780 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396396305 directly on the NPPES registry website.

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