MR. ROBERTO HENDERSON CADCIIMSW (A) NPI 1477893774

NPI Information

  • NPI: 1477893774
  • Provider Name: MR. ROBERTO HENDERSON, CADCII,MSW (A)
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 4019 WESTERLY PL STE 102
    NEWPORT BEACH, CA
    ZIP 92660
  • Phone: (714) 540-9070

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NPI Details

MR. Roberto Henderson, CADCII,MSW (A) is an addiction (substance use disorder) counselor in Newport Beach, CA. MR. Roberto Henderson, CADCII,MSW (A) NPI is 1477893774. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4019 WESTERLY PL STE 102
NEWPORT BEACH, CA
ZIP 92660-333
Phone: (714) 540-9070

The enumeration date for this NPI number is 2/22/2013 and was last updated on 2/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)A07490315CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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