Michael Clarkson-Hendrix, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R073051 Issued in NY

Practice address

815 24TH St # 1
Watervliet, NY 12189-2023

Phone

(518) 265-5636

Fax

(518) 430-3031

NPI assigned

Feb 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Michael Hendrix Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1588708317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 24TH ST # 1",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121892023",
            "telephone_number": "518-265-5636",
            "fax_number": "518-430-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 24TH ST # 1",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121892023",
            "telephone_number": "518-265-5636",
            "fax_number": "518-430-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKSON-HENDRIX",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R073051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "HENDRIX",
            "prefix": "MR.",
            "credential": "LCSW-R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dayle Carhart-Davis, DPT, PT
• Sierra Jane Caruso
• Tracie Casullo, MS, ED
• Center for Disability Services
• City of Watervliet
• Christina Renee Clifford, LPN
• Rachel Cody
• Paige Ashley Cook
• Ashley Thanh Dang, FNP-BC
• Catherine Ellen Dawybida

• Clinical Social Worker in Watervliet, NY
• Providers in Watervliet, 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 21, 2015; 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.