Provider Demographics
NPI:1639525686
Name:HINTON, JESSE (LMSW)
Entity Type:Individual
Prefix:MR
First Name:JESSE
Middle Name:
Last Name:HINTON
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 LANDFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:NY
Mailing Address - Zip Code:12701-1326
Mailing Address - Country:US
Mailing Address - Phone:845-665-8588
Mailing Address - Fax:845-707-4221
Practice Address - Street 1:50 LANDFIELD AVE
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-1326
Practice Address - Country:US
Practice Address - Phone:845-665-8588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY090018-11041C0700X
NY091127-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical