Provider Demographics
NPI:1306224829
Name:HINDS, RONALD THOMAS (MLSW, CSAC)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:THOMAS
Last Name:HINDS
Suffix:
Gender:M
Credentials:MLSW, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 BROADWAY FL 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-7350
Mailing Address - Country:US
Mailing Address - Phone:212-256-1071
Mailing Address - Fax:
Practice Address - Street 1:1370 BROADWAY FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7350
Practice Address - Country:US
Practice Address - Phone:212-256-1071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-16
Last Update Date:2015-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6376101YA0400X
NY066468104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)