Provider Demographics
NPI:1497470165
Name:HINES, STERLING LAWRENCE (LCSW)
Entity Type:Individual
Prefix:
First Name:STERLING
Middle Name:LAWRENCE
Last Name:HINES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:STERLING
Other - Middle Name:LAWRENCE
Other - Last Name:HINES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:3223 CLIFF AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23222-2754
Mailing Address - Country:US
Mailing Address - Phone:804-291-6094
Mailing Address - Fax:
Practice Address - Street 1:3223 CLIFF AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23222-2754
Practice Address - Country:US
Practice Address - Phone:804-291-6094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040143201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical