MR. MICHAEL B HINES (NPI# 1952678419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952678419 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL B HINES |
| Credential | LCSW |
| Practice Address |
10 Crater Lake Ave Ste 26 Medford OR 97504-7445 |
| Practice Telephone | 5414147257 |
| Practice Fax Number | 5413260123 |
| Mailing Telephone | 5414147257 |
| Mailing Fax Number | 5413260123 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2019-04-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4371 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023440179 | Michael Ashton Hines | Physical Therapy Assistant | 9215 White Rock Trl, Dallas, TX 75238-2593 | 2013-07-31 |
| 1215964143 | Michael W Hines | Chiropractor | 3200 W Main St, Belleville, IL 62226-6620 | 2006-06-27 |
| 1952896912 | Michael Hines | Specialist/Technologist | 2441 Bellevue Ave, Daytona Beach, FL 32114-5615 | 2018-06-22 |
| 1679081806 | Michael Hines | Psychologist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2018-01-23 |
| 1033528872 | Michael Hines | Hearing Instrument Specialist | 1301 Plantation Island Dr S, Suite 401b, St Augustine, FL 32080-3108 | 2014-08-06 |
| 1487952263 | Michael Anthony Hines | Counselor | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2011-03-03 |
| 1821176728 | Michael R. Hines | Radiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1205947397 | Michael H. Hines | Physician Assistant | 801 N 29th St, Billings, MT 59101-0905 | 2006-08-31 |
| 1619951803 | Michael Weston Hines | Ophthalmology | 6400 W Newberry Rd, Suite 301, Gainesville, FL 32605-6605 | 2005-12-01 |
| 1255314969 | Michael Herbert Hines | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2005-11-28 |
| Street Address |
10 CRATER LAKE AVE STE 26 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-7445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1962053348 | Monica Lorraine Schlie | Social Worker | 18 Forrest Ave, Medford, NY 11763-2609 | 2019-09-26 |
| 1578129623 | Patricia M Sullivan | Social Worker | 29 Welgate Rd, Medford, MA 02155-2150 | 2019-05-14 |
| 1013483841 | Howard David Harris | Social Worker | 259 Park St - Apt. 2, Medford, MA 02155-2666 | 2018-10-19 |
| 1871078469 | Lorraine Lafata | Social Worker | 14 Kilsyth Rd Fl 1, Medford, MA 02155-6522 | 2018-09-28 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1184108292 | Nancy Ann Woodfork | Social Worker | 3600 Mystic Valley Pkwy Apt W315, Medford, MA 02155-5741 | 2018-09-24 |
| 1295218758 | Julia Dennon Wise | Social Worker | 17 Wyman St, Medford, MA 02155-3401 | 2018-09-11 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1932680840 | Shreya Bansal | Social Worker | 3920 Mystic Valley Pkwy Apt 602, Medford, MA 02155-6907 | 2018-08-28 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.