Individual provider Active NPI

Linda Ruth Hendrickson, LCSW-C

  • Clinical Social Worker
  • Stevensville, MD
National Provider Identifier
1174559488
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11133 Issued in MD
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

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
64207301OtherMDAPS HEALTHCARE
64207301OtherMDBLUE CROSS BLUE SHIELD MD
2130496OtherMDUNITED BEHAVIORAL HEALTHC
7228642OtherMDAETNA
516251OtherMDVALUE OPTIONS

Other names 1

  • Mrs. Linda Ruth Hauer-Hendrickson Other name

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

LicenseStateTypeSpecialty
11133MDMDClinical Social Worker
LSW 0000003931TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.