Individual provider Active NPI

Rosa Jung Hensley, LCSW

  • Clinical Social Worker
  • Anchorage, AK
National Provider Identifier
1578846101
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
144329 Issued in AK
Practice address
4141 B St Ste 305
Anchorage, AK 99503-5941
Phone
(907) 921-1331
Fax
(907) 802-6630
NPI assigned
Sep 20, 2011
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 144329 AK Primary

Addresses

Primary practice location

4141 B St Ste 305
Anchorage, AK 99503-5941

Mailing address

4141 B St Ste 305
Anchorage, AK 99503-5941
Phone (907) 921-1331

Other practice location 1

8717 Dimond D Cir
Anchorage, AK 99515-1931
Phone (907) 771-0536

Other practice location 2

1867 W Market St
Akron, OH 44313-6901
Phone (330) 812-3887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
144329AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Integrative Psychiatry LLC CurrentSince Feb 4, 2024 Accepting new patients
E & a, Inc. Clinical CurrentSince Apr 11, 2021 Accepting new patients
E & a, Inc. Clinical PastSince Mar 1, 2020 Accepting new patients

Locations

4141 B St
Ste 305
Anchorage, AK 99503
Phone (907) 921-1331

8717 Dimond D Cir
Anchorage, AK 99515
Phone (907) 771-0536

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1578846101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 B ST STE 305",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035941",
            "telephone_number": "907-921-1331",
            "fax_number": "907-802-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 B ST STE 305",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035941",
            "telephone_number": "907-921-1331",
            "fax_number": "907-802-6630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8717 Dimond D Cir",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995151931",
            "country_code": "US",
            "telephone_number": "907-771-0536",
            "fax_number": "907-771-0537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1867 W Market St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443136901",
            "country_code": "US",
            "telephone_number": "330-812-3887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "ROSA",
        "middle_name": "JUNG",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "144329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.