Individual provider Active NPI

Bruce Hinsdale, LW

  • Social Worker
  • Kent, WA
National Provider Identifier
1568651529
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LW00005814 Issued in WA
Practice address
232 2ND Ave S Ste 201
Kent, WA 98032-5862
Phone
(253) 859-0300
Fax
(253) 859-0745
NPI assigned
Oct 16, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LW00005814 WA Primary

Addresses

Primary practice location

232 2ND Ave S Ste 201
Kent, WA 98032-5862

Mailing address

232 2ND Ave S Ste 201
Kent, WA 98032-5862
Phone (253) 859-0300

Other identifiers 1

IdentifierTypeStateIssuer
1029HIOtherWAREGENCE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW00005814WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kent Youth and Family Services Past Accepting new patients
Kent Youth and Family Services Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1568651529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 2ND AVE S STE 201",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325862",
            "telephone_number": "253-859-0300",
            "fax_number": "253-859-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 2ND AVE S STE 201",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325862",
            "telephone_number": "253-859-0300",
            "fax_number": "253-859-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINSDALE",
        "first_name": "BRUCE",
        "credential": "LW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW00005814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1029HI",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.