Provider Demographics
NPI:1669763660
Name:HENSLEY, MEAGAN LIANN (LCSW)
Entity type:Individual
Prefix:
First Name:MEAGAN
Middle Name:LIANN
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 ELROD DR
Mailing Address - Street 2:
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-3706
Mailing Address - Country:US
Mailing Address - Phone:919-259-6176
Mailing Address - Fax:
Practice Address - Street 1:130 ELROD DR
Practice Address - Street 2:
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-3706
Practice Address - Country:US
Practice Address - Phone:919-259-6176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-25
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0069421041C0700X
HI42571041C0700X
WA613316811041C0700X
SC159461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical