Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lilliam Henningson, LCSW

Individual provider Counselor · NPI 1225158967

Lilliam Henningson, LCSW is a Clinical Social Worker in Provo, Utah. Qualified in 2005, 21 years ago. Accepts Medicare assignment. Licensed in Utah.

Years since qualifying
21
Licensed in
UT
In the registry since
2007
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 47530563102 (UT)
Counselor Taxonomy 101Y00000X · Licence 4753056-3502 (UT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4753056-3502 (UT)

Record details

NPI number1225158967
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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