Individual provider Active NPI

Sandra J Hinckley, LCSW

  • Clinical Social Worker
  • Gray, ME
National Provider Identifier
1457318263
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC5164 Issued in ME
Practice address
67 Shaker Rd Ste 7
Christopher Aaron Counseling Center
Gray, ME 04072-1536
Phone
(204) 294-4657
NPI assigned
Apr 26, 2006
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC5164 ME Primary

Addresses

Primary practice location

67 Shaker Rd Ste 7
Christopher Aaron Counseling Center
Gray, ME 04072-1536

Mailing address

48 Black Point Rd
Scarborough, ME 04074-9357
Phone (207) 210-2526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050614000098 ME Practitioner - Clinical Social Worker 3779527528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC5164MEMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1457318263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BLACK POINT RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749357",
            "telephone_number": "207-210-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 SHAKER RD STE 7",
            "address_2": "CHRISTOPHER AARON COUNSELING CENTER",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040721536",
            "telephone_number": "204-294-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINCKLEY",
        "first_name": "SANDRA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gray, ME

Sources for this page

Verify at the official NPI Registry.