Provider Demographics
NPI:1336400563
Name:HENSLEY, LYNNAE MATHIA (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:LYNNAE
Middle Name:MATHIA
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7330 MYRTLE DR
Mailing Address - Street 2:
Mailing Address - City:NEBO
Mailing Address - State:NC
Mailing Address - Zip Code:28761-8666
Mailing Address - Country:US
Mailing Address - Phone:828-308-5758
Mailing Address - Fax:828-639-8058
Practice Address - Street 1:408 S GREEN ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3529
Practice Address - Country:US
Practice Address - Phone:828-308-5758
Practice Address - Fax:828-639-8058
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0073031041C0700X
NCC0089651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical