Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marygrace Kaleeyaa Henderson

Individual provider Case Manager/Care Coordinator · NPI 1902503469

Marygrace Kaleeyaa Henderson is a Case Manager/Care Coordinator in Santa Monica, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1328 2nd St
Santa Monica, CA 90401-1122
Phone: (310) 394-6889
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X (CA)

Record details

NPI number1902503469
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 14, 2023
Last updated in NPPESJuly 3, 2023
Certification dateJuly 3, 2023

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