AMY HENDERSON LCSW
NPI 1790239408
Social Worker - Clinical in Salt Lake City, UT

Q: What is Amy Henderson's NPI number?

The NPI number for Amy Henderson is 1790239408. It was assigned to this individual provider in the NPPES registry on August 10, 2016.

Q: What is Amy Henderson's specialty?

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

Q: Is Amy Henderson enrolled in Medicare?

No. Amy Henderson has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Amy Henderson was last updated on August 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 August 10, 2016Opted out of Medicare · through Jul 1, 2028

65 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132(801) 585-0499(801) 581-3357 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: September 20, 2026.

On this page

About Amy Henderson Lcsw NPPES

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

AMY HENDERSON LCSW (NPI 1790239408) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (8911079-3501) and active in the NPI registry since August 2016. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1790239408

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameAMY HENDERSONCredential: LCSW

Location Address65 S MARIO CAPECCHI DRSalt Lake City, UT 84132-0005

Mailing Address65 S Mario Capecchi DrSalt Lake City, UT 84132-0005 · (801) 585-0499 · Fax (801) 581-3357

Phone(801) 585-0499

Fax(801) 581-3357

Sole ProprietorNo

Enumeration DateAugust 10, 2016

✔ NPI 1790239408 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 · 8911079-3501

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.

65 S MARIO CAPECCHI DR, Salt Lake City, UT 84132

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amy Henderson 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 July 1, 2022 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2022

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

DR. EILEEN HWANG MD

Ophthalmology