Individual provider · Type 1 NPI

Roxanne Henderson, LCSW

Clinical Social Worker · Fairfield, CA

NPI number 1669600458 Active

Practice location

2420 Martin Rd Ste 155
Fairfield, CA 94534-8651

Mailing address

2401 Waterman Blvd # A4-188
Fairfield, CA 94534-1800

Other practice locations

  • 233 Hobbs Ave, Vallejo, CA 94589-2325 · (707) 663-3900

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X25064 (CA)
Clinical Social Worker Primary 1041C0700X75738 (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 1669600458

Roxanne Henderson, LCSW's National Provider Identifier is 1669600458, issued on Jun 30, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfield, CA. The record was last updated on Oct 20, 2026.