Rebecca Carr Henderson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23361 Issued in CA

Practice address

535 S 2ND Ave
Covina, CA 91723-3013

Phone

(626) 974-0770

Fax

(626) 974-0774

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508909771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 LA CRESTA DR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S 2ND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233013",
            "telephone_number": "626-974-0770",
            "fax_number": "626-974-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "REBECCA",
        "middle_name": "CARR",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidarali Sahebekhtiari M.D., Inc.
• Katy Lou Maureen Heier
• Natalie Victoria Heller
• Tara Jane Helou
• Deborah Armine Henderson, M.A.
• Julia Hendricks
• Nardin Henen
• Radwa A Henigal
• Cesar Henriquez
• Sonia Mabel Herda

• Clinical Social Worker in Covina, CA
• Providers in Covina, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.