Hensley, Carly

Hensley, Carly is an individual health care provider with primary practice located at 748 14Th Ave , Longview WA 98632-2315. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hensley, Carly can be contacted via phone (360) 200-5419.

Contact Information

Primary practice address
748 14Th Ave Longview WA 98632-2315
Phone: (360) 200-5419
Fax: (360) 200-6736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LW61436950 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW61436950 Washington

Profile Details

NPI number 1184249849
LBN Legal business name Hensley, Carly
Credentials LICSW, MHP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2020
Last updated Sep 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184249849 NPPES
Washington MEDICAID 2159190

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