Provider Demographics
NPI:1346403342
Name:HENSLEY, PATRICIA WARREN (MSW)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:WARREN
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 WATERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-2816
Mailing Address - Country:US
Mailing Address - Phone:860-670-8006
Mailing Address - Fax:
Practice Address - Street 1:385 WATERVILLE RD
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-2816
Practice Address - Country:US
Practice Address - Phone:860-670-8006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTLCSW 00001671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical