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CONSTANCE M. HENDERSON L.C.S.W.
NPI 1629166475
Social Worker - Clinical in Mammoth Lakes, CA

Active since October 10, 2006Opted out of Medicare · through Jan 1, 2028
549 OLD MAMMOTH ROAD, SUITE 10, MAMMOTH LAKES, CA 93546(760) 934-4400 Get Directions Write a Review

NPPES record last updated: February 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Constance M. Henderson L.c.s.w. NPPES

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

CONSTANCE M. HENDERSON L.C.S.W. (NPI 1629166475) is an individual clinical provider in Mammoth Lakes, California, licensed in California (LCS 18786) and active in the NPI registry since October 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629166475
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCONSTANCE M. HENDERSONCredential: L.C.S.W.
Location Address549 OLD MAMMOTH ROAD, SUITE 10Mammoth Lakes, CA 93546-0000
Mailing AddressPo Box 284Lee Vining, CA 93541-0284 · (760) 934-4400
Phone(760) 934-4400
Sole ProprietorYes
Enumeration DateOctober 10, 2006
Last NPPES UpdateFebruary 1, 2008
✔ NPI 1629166475 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 CA · LCS 18786
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.
549 OLD MAMMOTH ROAD, SUITE 10, Mammoth Lakes, CA 93546
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Constance M. Henderson L.c.s.w. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2018 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2018
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93546 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

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 Constance Henderson's NPI number?

The NPI number for Constance Henderson is 1629166475. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Constance Henderson located?

Constance Henderson practices at 549 Old Mammoth Road, Suite 10, Mammoth Lakes, CA 93546. The listed phone number is (760) 934-4400.

What is Constance Henderson's specialty?

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

Is Constance Henderson enrolled in Medicare?

No. Constance Henderson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Constance Henderson was last updated on February 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.