Provider Demographics
NPI:1336294354
Name:HAWTIN, CAROL LEE (LCSW C)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:LEE
Last Name:HAWTIN
Suffix:
Gender:F
Credentials:LCSW C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:937 YACHTSMAN WAY
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403-3983
Mailing Address - Country:US
Mailing Address - Phone:410-994-4633
Mailing Address - Fax:410-544-5939
Practice Address - Street 1:31 ROBINSON ROAD
Practice Address - Street 2:
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-2841
Practice Address - Country:US
Practice Address - Phone:410-991-4633
Practice Address - Fax:410-544-5939
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07866104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker