Provider Demographics
NPI:1265002935
Name:HAWKINS, MICHELLE KAYE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:KAYE
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 1:293 SHAWN DR
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:KY
Mailing Address - Zip Code:42025-6763
Mailing Address - Country:US
Mailing Address - Phone:270-519-3821
Mailing Address - Fax:270-443-4019
Practice Address - Street 1:3233 SHAW RD
Practice Address - Street 2:
Practice Address - City:MELBER
Practice Address - State:KY
Practice Address - Zip Code:42069-8737
Practice Address - Country:US
Practice Address - Phone:270-674-6061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2556481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical