Individual provider · Type 1 NPI
Constance M. Henderson, L.C.S.W.
Clinical Social Worker · Mammoth Lakes, CA
Practice location
549 Old Mammoth Road, Suite 10
Mammoth Lakes, CA 93546-0000
Mailing address
PO Box 284
Lee Vining, CA 93541-0284
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCS 18786 (CA) |
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 1629166475
Constance M. Henderson, L.C.S.W.'s National Provider Identifier is 1629166475, issued on Oct 10, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mammoth Lakes, CA. The record was last updated on Feb 1, 2008.