| Lainie Hinnant, Lcsw Llc | |
|
1630 Huguenot Rd Midlothian VA 23113-2427 | |
| (804) 643-3512 | |
| (804) 423-6455 |
| Full Name | Lainie Hinnant, Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1630 Huguenot Rd, Midlothian, Virginia |
| Authorized Official Name and Position | Lainie R Hinnant (OWNER) |
| Authorized Official Contact | 8046433512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lainie Hinnant, Lcsw Llc 1630 Huguenot Rd Midlothian VA 23113-2427 Ph: (804) 643-3512 | Lainie Hinnant, Lcsw Llc 1630 Huguenot Rd Midlothian VA 23113-2427 Ph: (804) 643-3512 |
| NPI Number | 1659520815 |
|---|---|
| Provider Enumeration Date | 09/12/2008 |
| Last Update Date | 01/25/2010 |
| Medicare PECOS PAC ID | 2062554595 |
|---|---|
| Medicare Enrollment ID | O20100122000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659520815 | NPI | - | NPPES |
| 355761 | Other | VA | BCBS |
| 1261315 | Other | VA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904003104 (Virginia) | Primary |
| Provider Name | Elainie R Hinnant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619081213 PECOS PAC ID: 5890730048 Enrollment ID: I20050628000385 |
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