Provider Demographics
NPI:1225168289
Name:HAWLEY, SYLVIA A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:A
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 1:2221 ENBORG LN
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2608
Mailing Address - Country:US
Mailing Address - Phone:408-885-6276
Mailing Address - Fax:408-885-3977
Practice Address - Street 1:2221 ENBORG LN
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2608
Practice Address - Country:US
Practice Address - Phone:408-885-6276
Practice Address - Fax:408-885-3977
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 155231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GN952RMedicare PIN
GN952VMedicare PIN
GN952ZMedicare PIN
GN952SMedicare PIN
GN952TMedicare PIN
GN952XMedicare PIN
GN952YMedicare PIN
P64496Medicare UPIN
GN952UMedicare PIN
GN952WMedicare PIN
ZZZ24319ZMedicare ID - Type Unspecified