Provider Demographics
NPI:1023087111
Name:HINCKS, ROBERT P (LICSW)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:P
Last Name:HINCKS
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:70 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1466
Mailing Address - Country:US
Mailing Address - Phone:866-431-4077
Mailing Address - Fax:413-774-7448
Practice Address - Street 1:70 MAIN ST
Practice Address - Street 2:NORTHAMPTON HEALTH CENTER
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1466
Practice Address - Country:US
Practice Address - Phone:413-586-8400
Practice Address - Fax:413-585-5491
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1106001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA29062OtherHEALTH NEW ENGLAND
MA800012233OtherRAILROAD MEDICARE
MAP07842OtherBLUE CROSS BLUE SHIELD
MA137758000OtherMAGELLAN BEHAVIORAL HEALT
MA1294019OtherFALLON
MA1017869OtherCIGNA BH
MA457576OtherTUFTS HEALTH PLAN
MA1294019OtherFALLON