Eva Diane Hendrikson, B.A.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

113 University PL FL 8
New York, NY 10003-4527

Phone

(917) 960-9500

NPI assigned

Sep 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cassandra Reid LLC

  dba City Therapy

  • Clinical Social Worker
  • New York, NY
  • NPI 1396110060
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1205661584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 5TH AVE APT 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034349",
            "telephone_number": "612-743-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 UNIVERSITY PL FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034527",
            "telephone_number": "917-960-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIKSON",
        "first_name": "EVA",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Hendrickson
• Calista Hendrickson, OTR/L
• Nicholas Albert Hendrickson, NP
• Shirley J Hendrickson, NP
• Dawn Elizabeth Hendriks, N.P
• Cassandra Hendrix, PHD
• Rebecca Lynne Hendrix, LMFT
• Abel Farnum Hendy Jr., D.D.S.
• Maureen Kelly Heneghan, MAUREEN HENEGHAN, PA
• Jenna Bari Henek, LMSW

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.