Individual provider Active NPI

Carlie McKeehan Hensley

  • School Social Worker
  • Fullerton, CA
National Provider Identifier
1316855331
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
260137773 Issued in CA
Practice address
1710 Rosecrans Ave
Fullerton, CA 92833-1912
Phone
(714) 447-7785
Fax
(714) 447-7556
NPI assigned
Aug 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 139330 CA
School Social Worker 1041S0200X 260137773 CA Primary

Addresses

Primary practice location

1710 Rosecrans Ave
Fullerton, CA 92833-1912

Mailing address

6200 Hollywood Blvd Apt 4506
Los Angeles, CA 90028-6397

Other practice location 1

1350 Starbuck St
Fullerton, CA 92833-5668
Phone (714) 447-2890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1316855331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 HOLLYWOOD BLVD APT 4506",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900286397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 ROSECRANS AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928331912",
            "telephone_number": "714-447-7785",
            "fax_number": "714-447-7556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Starbuck St",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928335668",
            "country_code": "US",
            "telephone_number": "714-447-2890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "CARLIE",
        "middle_name": "MCKEEHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "139330",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "260137773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.