Healthcare Provider Details

I. General information

NPI: 1659205177
Provider Name (Legal Business Name): ALVIN H HINKLE JR. SOCIAL WORKER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 NEW YORK AVE NE
WASHINGTON DC
20002-3320
US

IV. Provider business mailing address

64 NEW YORK AVE NE
WASHINGTON DC
20002-3320
US

V. Phone/Fax

Practice location:
  • Phone: 202-379-6032
  • Fax:
Mailing address:
  • Phone: 202-379-6032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLG100713
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: