Constance M Henderson, LCSW is a
Social Worker - Clinical based in Mammoth Lakes, California. Constance M Henderson is licensed to practice in California (license number LCS 18786) and her current practice location is
549 Old Mammoth Road, Suite 10, Mammoth Lakes, California. She can be reached at her office (for appointments etc.) via phone at
(760) 934-4400.
NPI number for Constance M Henderson is 1629166475 and her current mailing address is Po Box 284, Lee Vining, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629166475.
Healthcare Provider's Profile
Full Name | Constance M Henderson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 549 Old Mammoth Road, Suite 10, Mammoth Lakes, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629166475
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 02/01/2008
Medical Identifiers
Medical identifiers for Constance M Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629166475 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LCS 18786 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Constance M Henderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Constance M Henderson, LCSW Po Box 284, Lee Vining, CA 93541-0284 Ph: (760) 934-4400 | Constance M Henderson, LCSW 549 Old Mammoth Road, Suite 10, Mammoth Lakes, CA 93546-0000 Ph: (760) 934-4400 |
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