Provider Demographics
NPI:1003468117
Name:HINSON, DEANA JOANNE (LCSW)
Entity type:Individual
Prefix:
First Name:DEANA
Middle Name:JOANNE
Last Name:HINSON
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 1:100 HUBBARD ST STE C
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-5745
Mailing Address - Country:US
Mailing Address - Phone:540-808-3382
Mailing Address - Fax:540-951-8733
Practice Address - Street 1:100 HUBBARD ST STE C
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-5745
Practice Address - Country:US
Practice Address - Phone:540-381-6215
Practice Address - Fax:540-951-8733
Is Sole Proprietor?:No
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904003105101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health