Mitzi Henderson, LCSW
NPI 1366877623 · Clinical Social Worker · Russellville, AR
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mitzi Henderson, LCSW is a Clinical Social Worker provider in Russellville, AR (NPI 1366877623).
Provider details
- NPI number
- 1366877623
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7671-C (AR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2013-09-05
- Last updated
- 2021-09-08
- Certified
- 2021-09-08
Frequently asked questions
- What is Mitzi Henderson's NPI number?
- Mitzi Henderson's National Provider Identifier (NPI) is 1366877623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mitzi Henderson's specialty?
- Mitzi Henderson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mitzi Henderson located?
- Mitzi Henderson's practice location on file with NPPES is 500 W Main St Ste 302, Russellville, AR 72801-3630.
- What is Mitzi Henderson's phone number?
- The practice phone number listed in the NPPES registry for Mitzi Henderson is (479) 264-0606.
- Does Mitzi Henderson accept Medicare?
- Mitzi Henderson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mitzi Henderson's NPI active?
- Yes — Mitzi Henderson's NPI (1366877623) is active in the NPPES registry as of the last update on 2021-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.