Deanna Lynne Henderson, ASW is a
Social Worker based in Fairfield, California. Deanna Lynne Henderson is licensed to practice in California (license number 89047) and her current practice location is
2101 Courage Dr, Fairfield, California. She can be reached at her office (for appointments etc.) via phone at
(707) 784-8335.
NPI number for Deanna Lynne Henderson is 1750976080 and her current mailing address is 2101 Courage Dr, Fairfield, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750976080.
Healthcare Provider's Profile
| Full Name | Deanna Lynne Henderson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 2101 Courage Dr, Fairfield, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1750976080
- Provider Enumeration Date: 03/08/2021
- Last Update Date: 06/07/2024
Medical Identifiers
Medical identifiers for Deanna Lynne Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750976080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 89047 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 89047 (California) | Secondary |
| 104100000X | Social Worker | 89047 (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. Deanna Lynne 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 |
|---|
Deanna Lynne Henderson, ASW
2101 Courage Dr,
Fairfield, CA 94533-6717
Ph: (707) 784-8335 | Deanna Lynne Henderson, ASW
2101 Courage Dr,
Fairfield, CA 94533-6717
Ph: (707) 784-8335 |
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