Provider Demographics
NPI:1124493390
Name:HENSLEY, VICTORIA A (LSCSW, LCAC)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:A
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:LSCSW, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 WILLARD ST
Mailing Address - Street 2:
Mailing Address - City:FRONTENAC
Mailing Address - State:KS
Mailing Address - Zip Code:66763-2120
Mailing Address - Country:US
Mailing Address - Phone:620-249-4901
Mailing Address - Fax:
Practice Address - Street 1:604 WILLARD ST
Practice Address - Street 2:
Practice Address - City:FRONTENAC
Practice Address - State:KS
Practice Address - Zip Code:66763-2120
Practice Address - Country:US
Practice Address - Phone:620-249-4901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-14
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS747101YA0400X
KS9870104100000X
KS49601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker