Provider Demographics
NPI:1235278185
Name:HINSON, QUENTIN JOSHUA (MSW, P-LCSW)
Entity Type:Individual
Prefix:MR
First Name:QUENTIN
Middle Name:JOSHUA
Last Name:HINSON
Suffix:
Gender:M
Credentials:MSW, P-LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 W MAIN ST
Mailing Address - Street 2:SUITE 2H
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-2026
Mailing Address - Country:US
Mailing Address - Phone:919-338-1939
Mailing Address - Fax:919-338-2729
Practice Address - Street 1:110 W MAIN ST
Practice Address - Street 2:SUITE 2H
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-2026
Practice Address - Country:US
Practice Address - Phone:919-338-1939
Practice Address - Fax:919-338-2729
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0030541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical