Provider Demographics
NPI:1083096200
Name:HAWKSWORTH, HANNAH RENEE (MSW, LCSW, LCAS)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:RENEE
Last Name:HAWKSWORTH
Suffix:
Gender:F
Credentials:MSW, LCSW, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 RIDDICK CT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-6002
Mailing Address - Country:US
Mailing Address - Phone:910-352-4342
Mailing Address - Fax:
Practice Address - Street 1:5041 NEW CENTRE DR STE 115
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-1624
Practice Address - Country:US
Practice Address - Phone:910-805-3160
Practice Address - Fax:910-401-1810
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-21727101YA0400X
NCC0109701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)