Healthcare Provider Details

I. General information

NPI: 1558115568
Provider Name (Legal Business Name): LAUREN CELESTE HINOJOSA LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2024
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7507 NE 51ST ST
VANCOUVER WA
98662-6007
US

IV. Provider business mailing address

7507 NE 51ST ST
VANCOUVER WA
98662-6007
US

V. Phone/Fax

Practice location:
  • Phone: 360-906-1190
  • Fax:
Mailing address:
  • Phone: 360-906-1190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWI.LW.70114226
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34011085A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: