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

Individual provider Clinical Social Worker · NPI 1366877623

Mitzi Henderson, LCSW is a Clinical Social Worker in Russellville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2013
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

500 W Main St Ste 302
Russellville, AR 72801-3630
Phone: (479) 264-0606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7671-C (AR)

Record details

NPI number1366877623
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 5, 2013
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021

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