Individual provider · Type 1 NPI

Alfonso Mack Henderson

Clinical Social Worker · Newton, MA

NPI number 1396396305 Active

Practice location

199 Wells Ave
Newton, MA 02459-3325

Mailing address

1612 Worcester Rd Apt 618A
Framingham, MA 01702-5480

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X128637 (MA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1396396305

Alfonso Mack Henderson's National Provider Identifier is 1396396305, issued on Sep 23, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newton, MA. The record was last updated on Mar 13, 2025.