Healthcare Provider Details

I. General information

NPI: 1205761210
Provider Name (Legal Business Name): JENNIFER HENSON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3630 SW BURLINGAME RD
TOPEKA KS
66611-2050
US

IV. Provider business mailing address

PO BOX 844383
DALLAS TX
75284-4383
US

V. Phone/Fax

Practice location:
  • Phone: 785-337-0308
  • Fax: 816-221-9121
Mailing address:
  • Phone: 816-221-0305
  • Fax: 816-221-9121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLMSW14745
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: