Provider Demographics
NPI:1942966940
Name:HACKWELL, CINDY (LCSW)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:HACKWELL
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 1:12218 ERSKINE CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-3570
Mailing Address - Country:US
Mailing Address - Phone:712-326-9674
Mailing Address - Fax:
Practice Address - Street 1:12218 ERSKINE CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-3570
Practice Address - Country:US
Practice Address - Phone:712-326-9674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-14
Last Update Date:2021-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical