STACEY EDWINA HENDRICKS
NPI 1235878190
Community Health Worker in Vallejo, CA
About Stacey Edwina Hendricks NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY EDWINA HENDRICKS (NPI 1235878190) is an individual community health worker in Vallejo, California and active in the NPI registry since May 2022.
NPPES Registry Identity
Specialties & Licenses 3
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stacey Hendricks's NPI number?
The NPI number for Stacey Hendricks is 1235878190. It was assigned to this individual provider in the NPPES registry on May 31, 2022.
Where is Stacey Hendricks located?
Stacey Hendricks practices at 908 Tuolumne St, Vallejo, CA 94590. The listed phone number is (707) 648-8121.
What is Stacey Hendricks's specialty?
The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.
When was this NPI record last updated?
The NPPES record for Stacey Hendricks was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.