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Deactivated NPI 1508286105 Deactivated / Inactive NPI Male Practitioner

Carl Wayne Henderson

Case Manager/Care Coordinator • Compton, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Carl Henderson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 22, 2014
NPI Deactivation Date March 02, 2022
Total Practice Duration ~8 Years of Practice (2014 – 2022)

Professional Overview & Biography Verified Profile Summary

Carl Henderson was a registered Case Manager/Care Coordinator practicing in Compton, CA. Throughout an active medical career spanning 8 years, Carl Henderson provided care at the practice location at 1303 W. PARKWAY until profile deactivation on 2022-03-02.

Practice Location & Contact Primary Location

Practice Address

1303 W. Parkway

Compton, CA 902205030

Telephone 3108685379
Fax 3108685397
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Compton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.8 Yrs
Regional Practice Density
96 Specialists

Practicing in Compton, CA (23452 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Imelda Valencia , BA

Counselor - Mental Health

NPI 1013177260

Bachelor of Arts

Guadalupe Gurrola

Social Worker

NPI 1013636828
Jessica Cooke

Marriage & Family Therapist

NPI 1023844925
Orisha Osborne , LMFT

Marriage & Family Therapist

NPI 1033304555

Licensed Marriage and Family Therapist

Myesha Mack

Rehabilitation Practitioner

NPI 1033422472
Jorge Vallejo

Rehabilitation Practitioner

NPI 1053624486

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 02, 2022

Record deactivated on March 02, 2022

NPI Profile Active April 22, 2014

NPI status registered as active in NPPES database

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Updated Practice Location April 22, 2014

Registered at 1303 W. PARKWAY, COMPTON, CA 902205030 (Tel: 3108685379)

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Updated Business Mailing Address April 22, 2014

Registered at 1303 W WALNUT PKWY, COMPTON, CA 902205030 (Tel: 3108685379)

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Provider Name / Credentials Updated April 22, 2014

Recorded as CARL HENDERSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2014

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration April 22, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508286105
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2014
Last Update: April 22, 2014
Deactivation Date: March 02, 2022

Mailing Address

1303 W Walnut Pkwy

Compton, CA 902205030

Phone: 3108685379

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.