Active NPI
Linda Ruth Hendrickson, LCSW-C
- Clinical Social Worker
- Stevensville, MD
National Provider Identifier
1174559488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11133
- Practice address
- 143 Log Canoe Cir
Stevensville, MD 21666-2127 - Phone
- (410) 604-1277
- Fax
- (410) 604-1310
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11133 | MD | Primary |
| Clinical Social Worker | 1041C0700X | LSW 0000003931 | TN |
Addresses
Primary practice location
143 Log Canoe Cir
Stevensville, MD 21666-2127
Mailing address
917 May LN
Stevensville, MD 21666-2215
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64207301 | Other | MD | APS HEALTHCARE |
| 64207301 | Other | MD | BLUE CROSS BLUE SHIELD MD |
| 2130496 | Other | MD | UNITED BEHAVIORAL HEALTHC |
| 7228642 | Other | MD | AETNA |
| 516251 | Other | MD | VALUE OPTIONS |
Other names 1
- Mrs. Linda Ruth Hauer-Hendrickson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11133 | MD | MD | Clinical Social Worker |
| LSW 0000003931 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Sivieri M.D. P.a. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Columbia, MD
- NPI 1255337002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1174559488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 MAY LN",
"city": "STEVENSVILLE",
"state": "MD",
"postal_code": "216662215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 LOG CANOE CIR",
"city": "STEVENSVILLE",
"state": "MD",
"postal_code": "216662127",
"telephone_number": "410-604-1277",
"fax_number": "410-604-1310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKSON",
"first_name": "LINDA",
"middle_name": "RUTH",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "11133",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW 0000003931",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS HEALTHCARE",
"identifier": "64207301",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MD",
"identifier": "64207301",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTHC",
"identifier": "2130496",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7228642",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "516251",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "HAUER-HENDRICKSON",
"middle_name": "RUTH",
"prefix": "MRS.",
"credential": "LCSW-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Stevensville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.