Provider Demographics
NPI:1700152436
Name:HINKLE, JAMES L (MSW MDIV LCSW)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:L
Last Name:HINKLE
Suffix:
Gender:M
Credentials:MSW MDIV LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 ARRAWANNA ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-5201
Mailing Address - Country:US
Mailing Address - Phone:719-471-6916
Mailing Address - Fax:719-329-0988
Practice Address - Street 1:625 ARRAWANNA ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5201
Practice Address - Country:US
Practice Address - Phone:719-471-6916
Practice Address - Fax:719-329-0988
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9899341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical