Provider Demographics
NPI:1043081276
Name:HINZ, LYNDA GAIL (LICSW)
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:GAIL
Last Name:HINZ
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11108 MERIDIAN PL W
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-7016
Mailing Address - Country:US
Mailing Address - Phone:425-387-1830
Mailing Address - Fax:
Practice Address - Street 1:11108 MERIDIAN PL W
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-7016
Practice Address - Country:US
Practice Address - Phone:425-387-1830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW604121561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical