Healthcare Provider Details

I. General information

NPI: 1083864797
Provider Name (Legal Business Name): MARGARET ROBIN HINSHAW LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2008
Last Update Date: 09/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S MERAMEC AVE
CLAYTON MO
63105-1711
US

IV. Provider business mailing address

111 S MERAMEC AVE
CLAYTON MO
63105-1711
US

V. Phone/Fax

Practice location:
  • Phone: 314-615-0410
  • Fax: 314-615-8303
Mailing address:
  • Phone: 314-615-0410
  • Fax: 314-615-8303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number002853
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: