MEDICARE: LAUREN CELESTE HINOJOSA LCSW

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
1	1041C0700X	Clinical Social Worker	34011085A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558115568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN CELESTE HINOJOSA LCSW

Provider Business Mailing Address
First Line	:	10234 GREENSTONE LN
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-3299
Country	:	US
Telephone Number	:	131-743-5247
Fax Number	:

Provider Business Practice Location Address
First Line	:	5751 UNIVERSITY AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-7222
Country	:	US
Telephone Number	:	317-847-7852
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2024
Last Update Date	:	05/24/2025

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