IndividualActive
Lisa Hendrickson, SSW
NPI 1003091109 · Social Worker · Beaver, UT
Provider details
- NPI number
- 1003091109
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- SSW
- Sex
- Female
- Sole proprietor
- No
- License
- 6827333-3503 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
75 W 1175 N
Beaver, UT 84713
Phone: (435) 438-5537
Fax: (435) 438-5170
Approximate (ZIP-level) locationGet directions
Mailing address
474 W 200 N
St George, UT 84770-4505
Registry dates
- Enumerated
- 2008-01-08
- Last updated
- 2008-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.