# NIKKI HENDRICKSON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578124160
- **Authorized official:** NIKKI ANN HENDRICKSON PCMSW, PLMHP (SOCIAL WORKER)
- **Authorized official phone:** (308) 991-0873

## Contact information

- **Practice address:** 100 W NORFOLK AVE, NORFOLK, NE 68701-5340
- **Practice address phone:** (308) 991-0873
- **Mailing address:** 1112 E MEADOW RIDGE RD, NORFOLK, NE 68701-7204
- **Mailing address phone:** (308) 991-0873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 06/24/2019
- **Last updated:** 07/03/2019