Hindash, Jennelle Dawn
Hindash, Jennelle Dawn is an individual health care provider with primary practice located at 3855 Foothills Rd Ste C , Las Cruces NM 88011-4772. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hindash, Jennelle Dawn can be contacted via phone (575) 496-7762.Contact Information
Primary practice address
3855 Foothills Rd Ste C
Las Cruces NM 88011-4772
Phone: (575) 496-7762
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | C-06649 | New Mexico |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | M-05761 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C-06649 | New Mexico |
Profile Details
| NPI number | 1033247275 |
|---|---|
| LBN Legal business name | Hindash, Jennelle Dawn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jan 18th, 2024 - about 11 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033247275 | NPPES |
| New Mexico | MEDICAID | 41676238 | |
| New Mexico | MEDICAID | 17831237 |
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