Provider Demographics
NPI:1184211039
Name:HAWKINS, ELIZABETH HEALY (LCSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:HEALY
Last Name:HAWKINS
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 1:930 TAHOE BLVD STE 802 PMB 673
Mailing Address - Street 2:
Mailing Address - City:INCLINE VILLAGE
Mailing Address - State:NV
Mailing Address - Zip Code:89451-9488
Mailing Address - Country:US
Mailing Address - Phone:512-299-7116
Mailing Address - Fax:
Practice Address - Street 1:519 SUGARPINE DR
Practice Address - Street 2:
Practice Address - City:INCLINE VILLAGE
Practice Address - State:NV
Practice Address - Zip Code:89451-8412
Practice Address - Country:US
Practice Address - Phone:512-299-7116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-27
Last Update Date:2020-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA859161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical