MEDICARE: MS. AMANDA JO HENDERSON LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	2484	MT
2	1041C0700X	Clinical Social Worker	LW61221937	WA
3	1041C0700X	Clinical Social Worker	6801097952	MI

General Provider Information

NPI Number	:	1205171170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMANDA JO HENDERSON LICSW

Provider Business Mailing Address
First Line	:	9307 W FOXTAIL LN
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99224-6078
Country	:	US
Telephone Number	:	406-437-2931
Fax Number	:

Provider Business Practice Location Address
First Line	:	9307 W FOXTAIL LN
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99224-6078
Country	:	US
Telephone Number	:	406-437-2931
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2012
Last Update Date	:	03/02/2026

Similar Medicare Providers

1285574293 — MADELINE MCKINNEY SLP
Practice Location Address:

1515 S TECHNOLOGY RD
SPOKANE, WA
99224-5003

Practice Phone: 509-209-7429
Practice Fax: 509-340-9942

1518703271 — DAINARD DOUGLAS KUHN PA
Practice Location Address:

9834 W HIGHWAY 2
SPOKANE, WA
99224

Practice Phone: 509-755-5300
Practice Fax:

1477409811 — EMPOWERMENT BEHAVIORAL HEALTH SERVICES PLLC
Practice Location Address:

5102 S LINCOLN WAY
SPOKANE, WA
99224-8305

Practice Phone: 208-640-6756
Practice Fax:

1376964809 — JESSI JESKE
Practice Location Address:

8900 S MULLEN HILL RD TRLR 49
SPOKANE, WA
99224-2211

Practice Phone: 509-496-6440
Practice Fax:

1093571598 — JESSE STEELE DPT
Practice Location Address:

10511 W AERO RD STE 1
SPOKANE, WA
99224-7035

Practice Phone: 509-413-2140
Practice Fax:

1457688772 — MRS. CHRISTI M ORTIZ LMFT, M.A.
Practice Location Address:

11507 S KEENEY RD
SPOKANE, WA
99224-9625

Practice Phone: 509-993-2968
Practice Fax:

Directions to “ MS. AMANDA JO HENDERSON LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.