Provider Demographics
NPI:1609998657
Name:HENSLER, CATHERINE MARY (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MARY
Last Name:HENSLER
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 1:180 NASSAU RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-4341
Mailing Address - Country:US
Mailing Address - Phone:631-838-7227
Mailing Address - Fax:
Practice Address - Street 1:177 MAIN ST
Practice Address - Street 2:SUITE #206
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-6917
Practice Address - Country:US
Practice Address - Phone:631-838-7227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053161-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN1R791Medicare ID - Type UnspecifiedPRIVATE PRACTICE
NYND9201Medicare ID - Type UnspecifiedGROUP PRACTICE