MEDICARE: MR. BENJAMIN ABRAM HINDELL LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CSW.09923207	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CSW.09923207	OTHER	CO	PROFESSIONAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396078325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BENJAMIN ABRAM HINDELL LMSW

Provider Business Mailing Address
First Line	:	13945 RIVERCREST CIR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80921-3217
Country	:	US
Telephone Number	:	720-984-2316
Fax Number	:

Provider Business Practice Location Address
First Line	:	3225 TEMPLETON GAP RD STE 214
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-8714
Country	:	US
Telephone Number	:	888-948-6789
Fax Number	:	877-345-3501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2009
Last Update Date	:	07/28/2022

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