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MITZI HENDERSON LCSW
NPI 1366877623
Social Worker - Clinical in Russellville, AR

Active since September 05, 2013PECOS Enrolled
500 W MAIN ST STE 302, RUSSELLVILLE, AR 72801(479) 264-0606 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2021, Aug 4, 2017 (2 updates tracked since 2017).

About Mitzi Henderson Lcsw NPPES

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

MITZI HENDERSON LCSW (NPI 1366877623) is an individual clinical provider in Russellville, Arkansas, licensed in Arkansas (7671-C) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366877623
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMITZI HENDERSONCredential: LCSW
Location Address500 W MAIN ST STE 302Russellville, AR 72801-3630
Mailing Address500 W Main St Ste 302Russellville, AR 72801-3630 · (479) 264-0606
Phone(479) 264-0606
Sole ProprietorYes
Enumeration DateSeptember 5, 2013
Last NPPES UpdateSeptember 8, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
✔ NPI 1366877623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AR · 7671-C
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.
500 W MAIN ST STE 302, Russellville, AR 72801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitzi Henderson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mitzi Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Friendship Community Care Inc.
1.1 mi
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
920 UNIVERSITY DR
Russellville, AR 72801
  • Reassigned Medicare billing, Arkansas enrollment
  • 35 clinicians in this Medicare group
NPI 1528144318 (479) 967-2322

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $51.36 – $157.74
Typical copayment $0.00 (range $12.84 – $39.43)
Most-billed visit code NA
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitzi Henderson's NPI number?

The NPI number for Mitzi Henderson is 1366877623. It was assigned to this individual provider in the NPPES registry on September 5, 2013.

Where is Mitzi Henderson located?

Mitzi Henderson practices at 500 W Main St Ste 302, Russellville, AR 72801. The listed phone number is (479) 264-0606.

What is Mitzi Henderson's specialty?

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

Is Mitzi Henderson enrolled in Medicare?

Yes. Mitzi Henderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mitzi Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mitzi Henderson reassigns Medicare benefits to Friendship Community Care Inc. (Russellville, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mitzi Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mitzi Henderson accept?

Health plans from Health Advantage and Octave list Mitzi Henderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitzi Henderson was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.