MS. JACQUELINE ANN HENDRICKSON (NPI# 1922170034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922170034 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE ANN HENDRICKSON |
| Credential | MSW |
| Practice Address |
3604 Stonehall Dr Beltsville MD 20705-3230 |
| Practice Telephone | 3015726790 |
| Mailing Telephone | 3015726790 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
5489 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912248394 | Jacqueline Suzanne Hendrickson | Clinic/Center | 1740 S College Ave, Fort Collins, CO 80525-1009 | 2013-03-08 |
| Street Address |
3604 STONEHALL DR |
| City | BELTSVILLE |
| State | MD |
| Zip Code | 20705-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730318 | My Clinical Coordinator LLC | Nurse Practitioner | 11720 Belsville Drive, Suite 500-a44, Beltsville, MD 20705 | 2020-11-04 |
| 1306454129 | Anastasi Ward | Technician | 4009 Lakehouse Road, Beltsville, MD 20705 | 2020-07-17 |
| 1750942512 | City Access LLC | Pharmacy | 11466 Cherry Hill Road, Silver Spring, MD 20705 | 2019-06-24 |
| 1972089225 | Emily Hemphill | Behavior Technician | 3917 Howard Rd, Beltsville, MD 20705 | 2018-07-18 |
| 1457841629 | Vijayalakshmi Jesson Dds PC | Dentist | 10820 Rhode Island Ave Ste A, Beltsville, MD 20705 | 2018-05-14 |
| 1942704465 | Ana Lisette Cordon | Behavior Technician | 12603 Bear Creek Ter, Beltsville, MD 20705 | 2018-03-20 |
| 1841718608 | Premier Health Care LLC | Psychiatry & Neurology | 4600 Powder Mill Rd Ste Z1, Beltsville, MD 20705 | 2017-08-31 |
| 1104357094 | Byron Adams | Social Worker | 12050 Baltimore Avenue, Beltsville, MD 20705 | 2017-03-23 |
| 1598213936 | Suita Healthcare Services | Home Health | 4517 Sellman Road, Suit G, Beltsville, MD 20705 | 2016-09-14 |
| 1578910246 | Kadiatu Turay | Technician | 11457 Cherry Hiill Rd #303, Beltsville, MD 20705 | 2016-05-23 |
| Find all providers in zip 20705 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649769027 | Michaela L Henderson | Social Worker | 12401 Brickyard Blvd Apt 2098, Beltsville, MD 20705-1634 | 2018-05-01 |
| 1326437310 | Patrice Forrester | Social Worker | 4700 Odell Rd, Beltsville, MD 20705-1839 | 2015-01-14 |
| 1770985178 | Audene E Watson | Social Worker | 10374 Southard Dr, Beltsville, MD 20705-2128 | 2014-09-17 |
| 1891089470 | Shannon R. Jordan | Social Worker | 6726a Industrial Dr, Beltsville, MD 20705-1237 | 2011-06-01 |
| 1861600785 | Arleathia S West | Social Worker | 4500 Howard Road, Beltsville, MD 20705 | 2007-05-21 |
| 1437278975 | Carla R Lester | Social Worker | 11505 Emack Rd, Beltsville, MD 20705-2626 | 2007-03-28 |
| 1871610766 | Maria Yvette Bates | Social Worker | 11412 Sequoia Lane, Beltsville, MD 20705 | 2007-03-23 |
| 1932232477 | Michael Lewis Hurney | Social Worker | 11501 Sequoia Ln, Beltsville, MD 20705-1469 | 2007-03-13 |
| 1558845255 | Bonita Acola Austin | Social Worker | 4600 Powder Mill Rd, Beltsville, MD 20705-2675 | 2018-09-18 |
| 1235355223 | Virginia C Hurney | Social Worker | 11501 Sequoia Ln, Beltsville, MD 20705 | 2007-04-18 |
| Find all providers in BELTSVILLE | ||||
| City | BELTSVILLE |
| Zip Code | 20705 |
Please comment or provide details below to improve the information on MS. JACQUELINE ANN HENDRICKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.