Provider Demographics
NPI:1063753069
Name:HINKE, ALLISON MARIE (LCSW)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:MARIE
Last Name:HINKE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:MARIE
Other - Last Name:BEHRENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW
Mailing Address - Street 1:120 DIVISION AVE
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-2932
Mailing Address - Country:US
Mailing Address - Phone:516-520-8350
Mailing Address - Fax:516-520-8364
Practice Address - Street 1:120 DIVISION AVE
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-2932
Practice Address - Country:US
Practice Address - Phone:516-520-8350
Practice Address - Fax:516-520-8364
Is Sole Proprietor?:No
Enumeration Date:2013-03-15
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0701841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical