Provider Demographics
NPI:1396078325
Name:HINDELL, BENJAMIN ABRAM (LMSW)
Entity type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:ABRAM
Last Name:HINDELL
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13945 RIVERCREST CIR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-3217
Mailing Address - Country:US
Mailing Address - Phone:720-984-2316
Mailing Address - Fax:
Practice Address - Street 1:3225 TEMPLETON GAP RD STE 214
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-8714
Practice Address - Country:US
Practice Address - Phone:888-948-6789
Practice Address - Fax:877-345-3501
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-09
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099232071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCSW.09923207OtherPROFESSIONAL LICENSE
CO51401037Medicaid
CO294907Medicare PIN