Individual
CARLY HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, MHP
Contact information
Practice address
748 14TH AVE, LONGVIEW, WA 98632-2315
(360) 200-5419
(360) 200-6736
Mailing address
PO BOX 2394, LONGVIEW, WA 98632
(360) 200-5419
(360) 200-6736
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW61436950
WA
1041C0700X
Clinical Social Worker
Primary
LW61436950
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2159190
—
WA
Enumeration date
06/09/2020
Last updated
03/25/2025
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