Provider Demographics
NPI:1639219769
Name:HINEY, DANA JEAN (LCSW)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:JEAN
Last Name:HINEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 206
Mailing Address - Street 2:
Mailing Address - City:TRINITY CENTER
Mailing Address - State:CA
Mailing Address - Zip Code:96091-0206
Mailing Address - Country:US
Mailing Address - Phone:530-515-6457
Mailing Address - Fax:
Practice Address - Street 1:400 AIRPORT ROAD
Practice Address - Street 2:
Practice Address - City:TRINITY CENTER
Practice Address - State:CA
Practice Address - Zip Code:96091-0206
Practice Address - Country:US
Practice Address - Phone:530-515-6457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 178241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical