Individual provider Active NPI

Lillie Gillen Hinkelman, LCSW-C

  • Clinical Social Worker
  • Upper Marlboro, MD
National Provider Identifier
1497975338
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17754 Issued in MD
Practice address
15510 Beech Tree Pkwy
Upper Marlboro, MD 20774-9042
Phone
(214) 364-8658
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 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 17754 MD Primary

Addresses

Primary practice location

15510 Beech Tree Pkwy
Upper Marlboro, MD 20774-9042

Mailing address

15510 Beech Tree Pkwy
Upper Marlboro, MD 20774-9042
Phone (214) 364-8658

Other names 1

  • Lillie Gillen Hinkelman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17754MDMDGeneral Practice Dentistry
34104TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1497975338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15510 BEECH TREE PKWY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749042",
            "telephone_number": "214-364-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15510 BEECH TREE PKWY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749042",
            "telephone_number": "214-364-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKELMAN",
        "first_name": "LILLIE",
        "middle_name": "GILLEN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLIE",
            "last_name": "HINKELMAN",
            "middle_name": "GILLEN",
            "credential": "LCSW-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.