Healthcare Provider Details

I. General information

NPI: 1225954787
Provider Name (Legal Business Name): STEPHEN HINKLE LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: STEPH HINKLE LMSW

II. Dates (important events)

Enumeration Date: 06/27/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3114 BROWNS MILL RD
JOHNSON CITY TN
37604-1417
US

IV. Provider business mailing address

1905 PLEASANT VIEW DR
JOHNSON CITY TN
37604-7233
US

V. Phone/Fax

Practice location:
  • Phone: 423-460-8487
  • Fax:
Mailing address:
  • Phone: 423-782-6302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW0000013178
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: