Provider Demographics
NPI:1700760097
Name:HINSHAW, CHARLES ALFRED (MSW,SWC)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:ALFRED
Last Name:HINSHAW
Suffix:
Gender:M
Credentials:MSW,SWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 HOLLAND ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-4721
Mailing Address - Country:US
Mailing Address - Phone:720-229-8712
Mailing Address - Fax:
Practice Address - Street 1:1329 HOLLAND ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-4721
Practice Address - Country:US
Practice Address - Phone:720-229-8712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSWC.0000001568101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor