Healthcare Provider Details

I. General information

NPI: 1003421991
Provider Name (Legal Business Name): CASEY ALANE HINKEL LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2020
Last Update Date: 09/09/2020
Certification Date: 09/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6881 BEECHMONT AVE
CINCINNATI OH
45230-2907
US

IV. Provider business mailing address

811 CASCADE RD
CINCINNATI OH
45240-3600
US

V. Phone/Fax

Practice location:
  • Phone: 513-231-6630
  • Fax:
Mailing address:
  • Phone: 513-725-6950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number1500047
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: