Provider Demographics
NPI:1124189220
Name:HINCHLIFFE, GEOFFREY A (LCSW-R)
Entity Type:Individual
Prefix:MR
First Name:GEOFFREY
Middle Name:A
Last Name:HINCHLIFFE
Suffix:
Gender:M
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 COURT ST STE 301
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11242-1133
Mailing Address - Country:US
Mailing Address - Phone:718-514-4924
Mailing Address - Fax:718-333-5236
Practice Address - Street 1:26 COURT ST STE 301
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11242-1133
Practice Address - Country:US
Practice Address - Phone:718-514-4924
Practice Address - Fax:718-333-5236
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2022-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR036839-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
1124189220Other1199NBF
1124189220OtherAETNA
1124189220OtherCIGNA/EVERNORTH
1124189220OtherOPTUM/UHC
1124189220OtherOXFORD HEALTH PLANS
5396704OtherAETNA
P1889793OtherOXFORD HEALTH PLAN ID#
115562Other1199 NBF
21188853620-01OtherBEECH STREET ID#
R036839-N02OtherHIP PROVIDER #