Joshua Hendrickson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

087937 Issued in NY

Practice address

121 Bailey Ave
Patchogue, NY 11772-3903

Phone

(631) 838-7183

NPI assigned

Oct 25, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 8, 2022 through Aug 8, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Joshua D Hendrickson LCSW PLLC

  • Clinical Social Worker
  • Riverhead, NY
  • NPI 1659916278
  NPD Authorized official
• Whole Child Mind-Body Wellness LLC

  • Clinical Social Worker
  • Wading River, NY
  • NPI 1235952615
  NPD Authorized official
• Family Integrated Consulting and Resources, Inc

  • Clinical Social Worker
  • Riverhead, NY
  • NPI 1881164085
  NPD

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1588917785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "BAYPORT",
            "state": "NY",
            "postal_code": "117050586",
            "telephone_number": "631-838-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BAILEY AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723903",
            "telephone_number": "631-838-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "JOSHUA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "087937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen M. Hazell, ANP
• Jianying He, DDS
• Health Edge Medical Care PLLC
• Caroline Hehir
• Alyson N Heimann
• Michelle Hennemeier, L.AC,L.M.T
• Kathleen Henning, P.T.
• Maria J Hensley-Spera, LCSW
• Meghan Higgins, LMSW
• Martha Lynn Hill, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.