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: July 26, 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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Mitzi Henderson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers 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 with the weekly NPPES data releases published by CMS.