Healthcare Provider Details

I. General information

NPI: 1013300482
Provider Name (Legal Business Name): JULIE HINES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE HANSFORD LCSW

II. Dates (important events)

Enumeration Date: 03/10/2015
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 S CHESTNUT ST
JEFFERSON OH
44047-1311
US

IV. Provider business mailing address

2625 STATE ROUTE 193
DORSET OH
44032-9746
US

V. Phone/Fax

Practice location:
  • Phone: 919-710-8528
  • Fax:
Mailing address:
  • Phone: 919-423-4266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC009308
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2405128
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: