Provider Demographics
NPI:1649168667
Name:HENLEY, WILLIAM MCKEEVER JAMES (LCSW)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:MCKEEVER JAMES
Last Name:HENLEY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4321 SHADY GROVE LN
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-8939
Mailing Address - Country:US
Mailing Address - Phone:540-632-9260
Mailing Address - Fax:
Practice Address - Street 1:401 W MAIN ST STE A3
Practice Address - Street 2:
Practice Address - City:RADFORD
Practice Address - State:VA
Practice Address - Zip Code:24141-1588
Practice Address - Country:US
Practice Address - Phone:540-961-8404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040175641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical