Rachel Henderson

Primary specialty

Social WorkerTaxonomy code 104100000X

License

105852 Issued in TX

Practice address

4052 Desert Nomad Dr
El Paso, TX 79938-2405

Phone

(915) 253-0546

NPI assigned

Aug 26, 2024

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1619701422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 DESERT NOMAD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 DESERT NOMAD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382405",
            "telephone_number": "915-253-0546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 W B St Fl 4",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921013537",
            "country_code": "US",
            "telephone_number": "915-253-0546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "105852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hemispheres Mind Care, PLLC
• Aaron Joseph Henckel, DC
• Tarah L Henderson-Toderic, DO
• Gary Lee Henderson, RPH
• Lorena Carrillo Henderson, RN, FNP-C
• Robert E. Henderson, DDS
• Christopher S. Hendricks, RN
• Erin Marie Hendricks, MS CCC-SLP
• Gordon C. Hendricks, O.D., M.S.
• Lisa Michelle Hendrix, NP

• Social Worker in El Paso, TX
• Providers in El Paso, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.