Provider Demographics
NPI:1063464998
Name:HAWLEY, ANNETTE B (LCSW)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:B
Last Name:HAWLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 LEMONWOOD CT
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-4872
Mailing Address - Country:US
Mailing Address - Phone:305-318-2878
Mailing Address - Fax:954-922-5658
Practice Address - Street 1:955 LEMONWOOD CT
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33019-4872
Practice Address - Country:US
Practice Address - Phone:305-318-2878
Practice Address - Fax:954-922-5658
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW49931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical