AUTUMN LANAE HENDRICKS
NPI 1215659222
Social Worker - Clinical in Grand Rapids, MI

Q: What is Autumn Hendricks's NPI number?

The NPI number for Autumn Hendricks is 1215659222. It was assigned to this individual provider in the NPPES registry on September 15, 2022.

Q: What is Autumn Hendricks's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Autumn Hendricks was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 15, 2022

2335 BURTON ST SE STE 210, GRAND RAPIDS, MI 49506(616) 236-3600(616) 369-1449 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Autumn Lanae Hendricks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTUMN LANAE HENDRICKS (NPI 1215659222) is an individual clinical provider in Grand Rapids, Michigan and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1215659222

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameAUTUMN LANAE HENDRICKS

Location Address2335 BURTON ST SE STE 210Grand Rapids, MI 49506-4669

Mailing Address2655 Grand Castle Blvd Sw Apt E311Grandville, MI 49418-1695 · (313) 970-8378

Phone(616) 236-3600

Fax(616) 369-1449

Sole ProprietorNo

Enumeration DateSeptember 15, 2022

NPPES CertifiedSeptember 15, 2022

✔ NPI 1215659222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2335 BURTON ST SE STE 210, Grand Rapids, MI 49506

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ANTHONY B CAPRARA

Social Worker (Clinical)