MS. GEORGEANN THELMA HENDRICKS LMSW LISAC NPI 1659641603

NPI Information

NPI: 1659641603
Provider Name: MS. GEORGEANN THELMA HENDRICKS, LMSW, LISAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
5 SAN CARLOS AVE.
SAN CARLOS, AZ
ZIP 85550
Phone: (928) 475-4875
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MS. Georgeann Thelma Hendricks, LMSW, LISAC is an addiction (substance use disorder) counselor in San Carlos, AZ. MS. Georgeann Thelma Hendricks, LMSW, LISAC NPI is 1659641603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5 SAN CARLOS AVE.
SAN CARLOS, AZ
ZIP 85550-900
Phone: (928) 475-4875
Fax: (928) 475-4880

The enumeration date for this NPI number is 1/9/2012 and was last updated on 1/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		LMSW-11182	ARIZONA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LISAC-10819	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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