Provider Demographics
NPI:1083426688
Name:HINKLE, KAMRYN (LSW)
Entity type:Individual
Prefix:
First Name:KAMRYN
Middle Name:
Last Name:HINKLE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 W BELMONT AVE STE 215
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-3240
Mailing Address - Country:US
Mailing Address - Phone:773-880-1485
Mailing Address - Fax:
Practice Address - Street 1:1300 W BELMONT AVE STE 215
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-3240
Practice Address - Country:US
Practice Address - Phone:773-880-1485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.114878104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker