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NPI Code Detail

MEDICARE: KIMBERLY HINRICHS LMSW

MEDICARE: KIMBERLY HINRICHS LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorLMSW 35027ID
2101YA0400XAddiction (Substance Use Disorder) CounselorLMSW 35027ID
3101YM0800XMental Health CounselorLMSW 35027ID
4104100000XSocial WorkerLMSW 35027ID
51041C0700XClinical Social WorkerLMSW 35027ID

General Provider Information

NPI Number : 1205287471
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY HINRICHS LMSW
Provider Business Mailing Address
First Line : 6235 W EDGEWATER DR
Second Line :
City : BOISE
State : ID
Zip : 83709-1032
Country : US
Telephone Number : 208-724-8581
Fax Number :
Provider Business Practice Location Address
First Line : 5185 W OVERLAND RD
Second Line :
City : BOISE
State : ID
Zip : 83705-2635
Country : US
Telephone Number : 208-724-8581
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2016
Last Update Date : 06/28/2016

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Directions to “ KIMBERLY HINRICHS LMSW” Practice Location

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