Steven Dale Hendrickson, L.C.S.W.
Social Worker, Clinical in Arcadia, CA. Individual provider (NPI-1).
NPI number1285708909
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1285708909
- Entity type
- Individual (NPI-1)
- Name
- Steven Dale Hendrickson
- Credential
- L.C.S.W.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 17, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 19648 | CA | Yes |
Practice location
330 E Live Oak AveArcadia, CA 91006-5617
Phone 626-821-5858
Mailing address
330 E Live Oak AveArcadia, CA 91006-5617
Phone 626-821-5858
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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