Provider Demographics
NPI:1033867791
Name:HINSON, COREY AUSTIN (LCSW)
Entity Type:Individual
Prefix:
First Name:COREY
Middle Name:AUSTIN
Last Name:HINSON
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 1:561 PIERCY RD
Mailing Address - Street 2:
Mailing Address - City:GREEN MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28740-8381
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:561 PIERCY RD
Practice Address - Street 2:
Practice Address - City:GREEN MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28740-8381
Practice Address - Country:US
Practice Address - Phone:828-989-7019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-12
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical