Victoria A Hensley, LSCSW, LCAC

Individual provider Active NPI Clinical Social Worker · Frontenac, KS

NPI 1124493390 · NPPES record last updated Jun 23, 2025

Key facts

NPI
1124493390
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
4960 (KS)
Practice address
604 Willard St
Frontenac, KS 66763-2120
Phone
(620) 249-4901
NPI assigned
Dec 14, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group KS PA (7 clinicians)

Practice addresses (Care Compare)

1526 Houston St
Manhattan, KS 66502-4129
Phone (323) 205-7088

2809 N Broadway St
Suite E
Pittsburg, KS 66762-2684
Phone (620) 498-3031

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190731001901 KS Practitioner - Clinical Social Worker 6608102439 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
747KSMDClinical Psychologist
9870KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford County Mental Health Center Current
since Apr 19, 2024
Accepting new patients
Mental Health Specialty Group KS, P.a. Current
since Jul 1, 2025
Accepting new patients
Victory Empowered Therapy, LLC Clinical Current
since Aug 28, 2025
Accepting new patients

Locations

2809 N Broadway St
Ste E
Pittsburg, KS 66762
Phone (620) 232-3600

911 E Centennial Dr
Pittsburg, KS 66762
Phone (620) 338-7282

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 747 KS
Social Worker 104100000X 9870 KS
Clinical Social Worker 1041C0700X 4960 KS Yes

Addresses

Primary practice location

604 Willard St
Frontenac, KS 66763-2120

Mailing address

604 Willard St
Frontenac, KS 66763-2120
Phone (620) 249-4901

Other providers in Frontenac, KS

All providers in Frontenac, KS · Clinical Social Worker in Kansas

Sources for this page

Verify at the official NPI Registry.