Elizabeth Hendrickson, CAPSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

133038-121 Issued in WI

Practice address

1320 Mendota St Ste 120
Madison, WI 53714-1060

Phone

(608) 225-7765

NPI assigned

May 5, 2023

Last updated

May 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Lakeside Counseling Center, LLC

  • Mental Health Counselor
  • Madison, WI
  • NPI 1215443882

  Social Worker

  Medicare reassignment NPD

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1417646365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N BUTLER ST APT 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032189",
            "telephone_number": "815-520-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MENDOTA ST STE 120",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141060",
            "telephone_number": "608-225-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "ELIZABETH",
        "credential": "CAPSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "133038-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Lars Henderson, PA-C
• Sheryl L Henderson, MD
• Andrew Hendrick
• Sandra Hendricks, MSSW
• Dan R Hendrickson
• Jennifer Kay Hendrickson, RN
• Marie Anne-Elizabeth Hendrickson, M.S., CCC-SLP
• Natalia B Hendrickson, PA-C
• Voyce Hendrix, MSSW
• Nicole Hendryx

• Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.