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KATIE HENDRICKSON LCSW
NPI 1770878019
Social Worker - Clinical in Orem, UT

Active since June 15, 2011Opted out of Medicare · through Jun 20, 2028

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Katie Hendrickson Lcsw NPPES

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

KATIE HENDRICKSON LCSW (NPI 1770878019) is an individual clinical provider in Orem, Utah, licensed in Utah (10376863-3501) and active in the NPI registry since June 2011. She has opted out of Medicare through June 20, 2028.

NPPES Registry Identity

NPI1770878019
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATIE HENDRICKSONCredential: LCSW
Location Address825 N 1420 EOrem, UT 84097-5484
Mailing AddressPo Box 971534Orem, UT 84097-1534 · (435) 668-5773
Phone(435) 668-5773
Sole ProprietorYes
Enumeration DateJune 15, 2011
Last NPPES UpdateJune 19, 2020
NPPES CertifiedJune 19, 2020
✔ NPI 1770878019 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 UT · 10376863-3501
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.
825 N 1420 E, Orem, UT 84097
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Katie Hendrickson Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 20, 2020 through June 20, 2028.

Opt-Out Effective DateJune 20, 2020
Opt-Out In Effect ThroughJune 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

DANIELLE BEEBE
Social Worker (Clinical)
825 N 1420 E
OREM, UT 84097
Utah County (801) 874-9126
MR. LOGAN TAYLOR DENSLEY LCSW
Social Worker (Clinical)
825 N 1420 E
OREM, UT 84097
Utah County (801) 367-6544
EDITH LYNN WEST APRN, FNP-C
Nurse Practitioner (Family)
825 N 1420 E
OREM, UT 84097
Utah County (801) 210-0825
MRS. NATASHA B CARROLL
Social Worker (Clinical)
825 N 1420 E
OREM, UT 84097
Utah County (801) 427-6376
VERITAS MENTAL HEALTH
Social Worker (Clinical)
825 N 1420 E
OREM, UT 84097
Utah County (484) 843-7279
JORDAN ADAM ZABRISKIE
Social Worker
825 N 1420 E
OREM, UT 84097
Utah County (801) 425-2150
KYLEE ANNE DENISON CSW
Social Worker
825 N 1420 E
OREM, UT 84097
Utah County (801) 367-6544
MICHAEL ASHTON COX LCSW
Social Worker (Clinical)
825 N 1420 E
OREM, UT 84097
Utah County (801) 376-7560

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 Katie Hendrickson's NPI number?

The NPI number for Katie Hendrickson is 1770878019. It was assigned to this individual provider in the NPPES registry on June 15, 2011.

Where is Katie Hendrickson located?

Katie Hendrickson practices at 825 N 1420 E, Orem, UT 84097. The listed phone number is (435) 668-5773.

What is Katie Hendrickson's specialty?

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

Is Katie Hendrickson enrolled in Medicare?

No. Katie Hendrickson has opted out of Medicare through June 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Katie Hendrickson was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.