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

Mr. Alfonso Mack Henderson

Individual provider Clinical Social Worker · NPI 1396396305

Mr. Alfonso Mack Henderson is a Clinical Social Worker in Newton, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2019

Practice location Address checks out

199 Wells Ave
Newton, MA 02459-3325
Phone: (774) 766-8780
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 128637 (MA)

Record details

NPI number1396396305
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 23, 2019
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

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