LISA HENDRICKSON (NPI# 1497204507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497204507 |
| Entity Type | Individual |
| Full Name | LISA HENDRICKSON |
| Practice Address |
15 Fortune Rd W Middletown NY 10941-1625 |
| Mailing Address |
15 Fortune Rd W Scotchtown NY 10941-1625 |
| Practice Telephone | 8456924454 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2017-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
083094-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699014712 | Lisa Renee Hendrickson | Occupational Therapy Assistant | 107 Woodbridge Dr, Newport News, VA 23608-8211 | 2013-02-08 |
| 1710918990 | Lisa Anne Hendrickson | Emergency Medicine | 34 Puukani Pl, Kailua, HI 96734-2928 | 2006-07-05 |
| 1184996381 | Lisa K Hendrickson | Social Worker | 1414 Main St, Melrose Park, IL 60160-3902 | 2012-02-02 |
| 1285950014 | Lisa R Hendrickson | Social Worker | 604 E 25th St, Cheyenne, WY 82001-3133 | 2010-04-19 |
| 1003091109 | Lisa Dawn Hendrickson | Social Worker | 75 W 1175 N, Beaver, UT 84713 | 2008-01-08 |
| Street Address |
15 FORTUNE RD W |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10941-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831238328 | Muhammad Malik | Psychiatry & Neurology | 15 Fortune Rd W, Middletown, NY 10941-1625 | 2007-02-05 |
| 1316548993 | Kayla Carol Mcknight | Counselor | 15 Fortune Rd W, Middletown, NY 10941-1625 | 2020-11-02 |
| 1578179057 | Carmen Alexandra Strachan | Social Worker | 15 Fortune Rd W, Middletown, NY 10941-1625 | 2020-09-19 |
| 1376158576 | Mahria Acevedo | Counselor | 15 Fortune Rd W, Middletown, NY 10941-1625 | 2020-09-14 |
| 1912512641 | Jocelyn Alvarez | Counselor | 15 Fortune Rd W, Middletown, NY 10941-1625 | 2020-09-10 |
| 1336752161 | Heather M Britton-schrager | Social Worker | 15 Fortune Rd W, Middletown, NY 10941-1625 | 2020-08-31 |
| 1942810619 | Robin Joanna Shutinya | Social Worker | 15 Fortune Rd W, Middletown, NY 10941-1625 | 2020-08-06 |
| 1457979817 | Amanda Melissa Parish | Counselor | 15 Fortune Rd W, Middletown, NY 10941-1625 | 2020-07-10 |
| 1255960407 | Monique Ramona Rodriguez | Counselor | 15 Fortune Rd W, Middletown, NY 10941-1625 | 2020-04-08 |
| 1619506003 | Jessica Lynn Brinkmann | Counselor | 15 Fortune Rd W, Middletown, NY 10941-1625 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471428 | Jackeline Montoya | Case Manager/Care Coordinator | 13 Kensington Manor, Middletown, NY 10941 | 2020-06-15 |
| 1124502398 | Kimberly Dominique Mccormick | Licensed Practical Nurse | 29, Macintosh Drive, Middletown, NY 10941 | 2018-09-24 |
| 1750891081 | Heather Skinner | Case Manager/Care Coordinator | 75 Crystal Run Rd Suite 201, Middletown, NY 10941 | 2017-09-29 |
| 1295281012 | Christa Lloyd | Counselor | 15 Fortune Rd, West Middletown, NY 10941 | 2016-08-31 |
| 1023471109 | Lauren Battaglia | Occupational Therapy Assistant | 192 Tower Drive Suite 400, Middletown, NY 10941 | 2016-04-05 |
| 1992188718 | Brynn Sierra | Occupational Therapist | 21 Riverside Drive, Middletown, NY 10941 | 2015-06-30 |
| 1356788574 | Keren Denis Joseph | Custodial Care Facility | 16 Disco Dr, Middletown, NY 10941 | 2013-05-29 |
| 1902169204 | Susan A. Reilly | Specialist | 2277 Gosen Turnpike, Middletown, NY 10941 | 2012-06-21 |
| 1518229392 | Dena Sapp | Case Manager/Care Coordinator | 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 | 2012-06-08 |
| 1770800542 | Orange County Medical Transportation Inc. | Taxi | 80 Wisner Avenue, Middletown, NY 10941 | 2010-05-03 |
| Find all providers in zip 10941 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669086799 | Berry Family Psychotherapy, LLC | Counselor | 27 White Rd, Middletown, CT 06457-2321 | 2020-09-05 |
| 1114555851 | Demetrius Valentino Mckay | Counselor | 326 Acasta Dr, Middletown, DE 19709-9800 | 2020-03-30 |
| 1740813047 | Shayne Jervey Ahmad | Counselor | 292 Carter Dr Ste Aandb, Middletown, DE 19709-5846 | 2020-02-15 |
| 1801439427 | Edwin Dejesus | Counselor | 31 Peyton Pl, Middletown, CT 06457-2339 | 2019-10-27 |
| 1457817678 | Nicole Elizabeth Mchugh | Counselor | 360 Main St Ste 2d, Middletown, CT 06457-3375 | 2019-02-12 |
| 1801370978 | Nicole Fodaski | Counselor | 1428 Millbrook Rd, Middletown, CT 06457-5538 | 2018-09-24 |
| 1740789163 | Corinne Ruppert | Counselor | 215 Oberlin Rd, Middletown, PA 17057-1448 | 2018-02-12 |
| 1881102499 | Chelsea Dicicco Counseling Services LLC | Counselor | 360 Main St Ste 2b, Middletown, CT 06457-3375 | 2018-01-17 |
| 1164938593 | Chelsea Rose Dicicco | Counselor | 29 Fairlawn Ave, Middletown, CT 06457-5315 | 2017-12-21 |
| 1639685456 | Integrated Counseling Solutions, LLC | Counselor | 363 Main St Ste 512, Middletown, CT 06457-3359 | 2017-12-15 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10941 |
Please comment or provide details below to improve the information on LISA HENDRICKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.