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NPI Code Detail

MEDICARE: CHRISTY L HENSLEY MSW, LCSW

MEDICARE: CHRISTY L HENSLEY MSW, 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
11041C0700XClinical Social Worker0904011580VA

General Provider Information

NPI Number : 1699079145
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY L HENSLEY MSW, LCSW
Provider Business Mailing Address
First Line : 140 CHRISTIANSBURG PIKE NE
Second Line :
City : FLOYD
State : VA
Zip : 24091-3742
Country : US
Telephone Number : 540-745-9290
Fax Number : 276-398-3331
Provider Business Practice Location Address
First Line : 140 CHRISTIANSBURG PIKE NE
Second Line :
City : FLOYD
State : VA
Zip : 24091-3742
Country : US
Telephone Number : 540-745-9290
Fax Number : 276-398-3331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2010
Last Update Date : 04/24/2023

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