Provider Demographics
NPI:1144357930
Name:HINTON, PATRICIA ANN (LCSW)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:HINTON
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 1:1102 S PINE ST
Mailing Address - Street 2:STE 1
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-3836
Mailing Address - Country:US
Mailing Address - Phone:501-413-7350
Mailing Address - Fax:501-603-0870
Practice Address - Street 1:1102 S PINE ST
Practice Address - Street 2:STE 1
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-3836
Practice Address - Country:US
Practice Address - Phone:501-413-7350
Practice Address - Fax:501-603-0870
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1685-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5X186Medicare ID - Type UnspecifiedSOCIAL WORK PROVIDER