Provider Demographics
NPI:1538987243
Name:HINKLE, JAMILYN ANN (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:JAMILYN
Middle Name:ANN
Last Name:HINKLE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 E OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:SCOTT CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63780-2727
Mailing Address - Country:US
Mailing Address - Phone:815-509-7988
Mailing Address - Fax:
Practice Address - Street 1:822 E OLIVE ST
Practice Address - Street 2:
Practice Address - City:SCOTT CITY
Practice Address - State:MO
Practice Address - Zip Code:63780-2727
Practice Address - Country:US
Practice Address - Phone:815-509-7988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0277201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical