Courtney Dejuan Henderson, is a
Community Health Worker based in Redwood City, California. Courtney Dejuan Henderson is licensed to practice in * (Not Available) (license number ) and his current practice location is
240 Edmonds Rd Bldg D, Redwood City, California. He can be reached at his office (for appointments etc.) via phone at
(650) 209-1100.
NPI number for Courtney Dejuan Henderson is 1679462725 and his current mailing address is 240 Edmonds Rd Bldg D, Redwood City, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679462725.
Healthcare Provider's Profile
| Full Name | Courtney Dejuan Henderson |
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| Gender | Male |
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| Speciality | Community Health Worker |
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| Location | 240 Edmonds Rd Bldg D, Redwood City, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679462725
- Provider Enumeration Date: 07/02/2025
- Last Update Date: 07/03/2025
Medical Identifiers
Medical identifiers for Courtney Dejuan Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679462725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 372600000X | Adult Companion | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Courtney Dejuan Henderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Courtney Dejuan Henderson,
240 Edmonds Rd Bldg D,
Redwood City, CA 94062-3813
Ph: (650) 209-1100 | Courtney Dejuan Henderson,
240 Edmonds Rd Bldg D,
Redwood City, CA 94062-3813
Ph: (650) 209-1100 |
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