Linda Kay Hendrick, ADT-3802
Counselor, Addiction (Substance Use Disorder) in Prince Frederick, MD. Individual provider (NPI-1).
NPI number1629520689
StatusActive
Last updated in NPPESJul 9, 2025
Details
- NPI
- 1629520689
- Entity type
- Individual (NPI-1)
- Name
- Linda Kay Hendrick
- Credential
- ADT-3802
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2016
- Certification date
- Jul 9, 2025
- Last updated
- Jul 9, 2025
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 |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 3802 | MD | Yes |
| 106S00000X | Behavior Technician | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | OH | |
| 247200000X | Technician, Other | – | – |
Practice location
69 Sherry LnPrince Frederick, MD 20678-3231
Phone 443-968-8331
Mailing address
335 Custer CtLusby, MD 20657-2510
Phone 937-831-1197
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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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