Michael B Hines, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4371 Issued in OR

Practice address

10 Crater Lake Ave Ste 26
Medford, OR 97504-7445

Phone

(541) 414-7257

Fax

(541) 326-0123

NPI assigned

Nov 28, 2011

Last updated

Apr 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1952678419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CRATER LAKE AVE STE 26",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047445",
            "telephone_number": "541-414-7257",
            "fax_number": "541-326-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CRATER LAKE AVE STE 26",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047445",
            "telephone_number": "541-414-7257",
            "fax_number": "541-326-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-28",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "4371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R Hills, MD
• Rebecca Gilbert Hills, MD
• Janae R Hilton, MD
• Rodney A Hinds, P.A.
• Marlena V Hines
• Jace T Hinesly
• Carly Hinkle
• Stacy Lee Hinojosa
• Kelly Nicole Hinton
• Jayme Ryan Hiratzka, MD

• Clinical Social Worker in Medford, OR
• Providers in Medford, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.