Elizabeth Yong Henderson, LMSW, LCDC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

112349 Issued in TX

Practice address

26229 N Cranes Mill Rd
Canyon Lake, TX 78133-1957

Phone

(305) 100-1658

NPI assigned

Dec 23, 2021

Last updated

Sep 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1922768597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10703 RR 12",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765239",
            "telephone_number": "949-629-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26229 N CRANES MILL RD",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781331957",
            "telephone_number": "305-100-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ELIZABETH",
        "middle_name": "YONG",
        "credential": "LMSW, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15785",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "112349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lizh@windmillwellnessranch.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "26229 N Cranes Mill Rd",
            "city": "Canyon Lake",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781331957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brooke Goodman, RN
• Howard Ivan Haecker, D.D.S.
• Alyssa Hanson, N.P.
• Jeffrey Quentin Harper, DC
• Monika Liesbeth Heck
• Tara Henry, LCDC-I
• Hill Country Chiropractic Clinic
• Hill Country Surgical Assistants
• Sheryl Rene Hopper, LPC
• Jill Marie Ingersoll, LCSW

• Social Worker in Canyon Lake, TX
• Providers in Canyon Lake, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.