Provider Demographics
NPI:1306262480
Name:HINDS, CARRIE L (LCSW)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:L
Last Name:HINDS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 453
Mailing Address - Street 2:
Mailing Address - City:SILVER CITY
Mailing Address - State:NM
Mailing Address - Zip Code:88062-0453
Mailing Address - Country:US
Mailing Address - Phone:970-270-2851
Mailing Address - Fax:
Practice Address - Street 1:309 N CHEYENNE AVE
Practice Address - Street 2:
Practice Address - City:SILVER CITY
Practice Address - State:NM
Practice Address - Zip Code:88061-3725
Practice Address - Country:US
Practice Address - Phone:970-270-2851
Practice Address - Fax:970-628-4991
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-12
Last Update Date:2020-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW000006061041C0700X
NMX-112161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty