IndividualActive
Wanda Hendrickson, LMFT, LMSW
NPI 1336286491 · Clinical Social Worker · Grand Rapids, MI
Provider details
- NPI number
- 1336286491
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMFT, LMSW
- Sex
- Female
- Sole proprietor
- No
- License
- 4101005850 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
901 Eastern Ave Ne
Grand Rapids, MI 49503-1201
Phone: (616) 224-7617
Fax: (616) 224-7593
Street-level locationGet directions
Mailing address
Po Box 294
Grand Rapids, MI 49501-0294
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.