Organization
NIKKI HENDRICKSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI ANN HENDRICKSON PCMSW, PLMHP (SOCIAL WORKER)
(308) 991-0873
Entity
Organization
Contact information
Practice address
100 W NORFOLK AVE, NORFOLK, NE 68701-5340
(308) 991-0873
Mailing address
1112 E MEADOW RIDGE RD, NORFOLK, NE 68701-7204
(308) 991-0873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639738768
NPI
NE
Enumeration date
06/24/2019
Last updated
07/03/2019
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