MEDICARE: MS. SUSAN D HENDRICKSON LCSW

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	106H00000X	Marriage & Family Therapist	954	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1199591	OTHER	CO	CAQH
3	CSW.00000954	OTHER	CO	PROFESSIONAL LICENSE

General Provider Information

NPI Number	:	1154506236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUSAN D HENDRICKSON LCSW

Provider Business Mailing Address
First Line	:	4860 ROBB ST
Second Line	:	SUITE 201
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-2184
Country	:	US
Telephone Number	:	303-278-7418
Fax Number	:	888-341-5050

Provider Business Practice Location Address
First Line	:	4824 S LEMAY AVE
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-9402
Country	:	US
Telephone Number	:	970-482-1574
Fax Number	:

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

Provider Enumeration Date	:	01/08/2008
Last Update Date	:	10/17/2013

Similar Medicare Providers

1881743102 — GREENFIELD MANAGEMENT SERVICES, INC.
Practice Location Address:

4824 S LEMAY AVE
FORT COLLINS, CO
80525-9402

Practice Phone: 970-482-1584
Practice Fax:

1093177636 — KATHERINE JUNE STRAND MSOT
Practice Location Address:

4824 S LEMAY AVE
FORT COLLINS, CO
80525-9402

Practice Phone: 970-482-1584
Practice Fax:

1881243186 — ALYSSA YEE CCC-SLP
Practice Location Address:

4824 S LEMAY AVE
FORT COLLINS, CO
80525-9402

Practice Phone: 970-482-1584
Practice Fax:

1538058581 — LEMAY AVENUE HEALTH AND REHAB LLC
Practice Location Address:

4824 S LEMAY AVE
FORT COLLINS, CO
80525-9402

Practice Phone: 970-482-1584
Practice Fax:

1043658925 — DR. BHAVIK PATEL D.D.S.
Practice Location Address:

3800 HIGHWAY 377 S
FORT WORTH, TX
76116-9402

Practice Phone: 214-529-0198
Practice Fax:

1245193168 — KARIN ALVAREZ CCC-SLP
Practice Location Address:

529 DEINES CT
FORT COLLINS, CO
80525-1010

Practice Phone: 719-213-0525
Practice Fax:

Directions to “ MS. SUSAN D HENDRICKSON LCSW” 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 © 2007-2025 (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.