MR. ALFONSO MACK HENDERSON
NPI 1396396305
Social Worker - Clinical in Newton, MA

Active since September 23, 2019PECOS Enrolled
199 WELLS AVE, NEWTON, MA 02459(774) 766-8780 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2025, May 5, 2023, Sep 23, 2019 (3 updates tracked since 2019).

About Mr. Alfonso Mack Henderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ALFONSO MACK HENDERSON (NPI 1396396305) is an individual clinical provider in Newton, Massachusetts, licensed in Massachusetts (128637) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396396305
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. ALFONSO MACK HENDERSON
Location Address199 WELLS AVENewton, MA 02459-3325
Mailing Address1612 Worcester Rd Apt 618aFramingham, MA 01702-5480 · (309) 660-0134
Sole ProprietorYes
Enumeration DateSeptember 23, 2019
Last NPPES UpdateMarch 13, 20253 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
NPI 1396396305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 128637
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

199 WELLS AVE, Newton, MA 02459

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Alfonso Mack Henderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02459 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
199 WELLS AVE
NEWTON, MA 02459

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 Alfonso Henderson's NPI number?

The NPI number for Alfonso Henderson is 1396396305. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is Alfonso Henderson located?

Alfonso Henderson practices at 199 Wells Ave, Newton, MA 02459. The listed phone number is (774) 766-8780.

What is Alfonso Henderson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Alfonso Henderson enrolled in Medicare?

Yes. Alfonso Henderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alfonso Henderson was last updated on March 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.