Individual provider Active NPI

Rachel Anne Hendrickson, MSW

  • Social Worker
  • Midvale, UT
National Provider Identifier
1366568925
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
64944403502 Issued in UT
Practice address
7321 S State St Ste a
Midvale, UT 84047-6105
Phone
(801) 878-4327
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 64944403502 UT Primary

Addresses

Primary practice location

7321 S State St Ste a
Midvale, UT 84047-6105

Mailing address

7321 S State St Ste a
Midvale, UT 84047-6105
Phone (801) 878-4327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250408001459 UT Practitioner - Clinical Social Worker 2769906015 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64944403502UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Fairbourn LMFT, LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

7321 S State St
Ste A
Midvale, UT 84047
Phone (801) 878-4327

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1366568925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 S STATE ST STE A",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476105",
            "telephone_number": "801-878-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 S STATE ST STE A",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476105",
            "telephone_number": "801-878-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "64944403502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

Verify at the official NPI Registry.