Provider Demographics
NPI:1356672810
Name:HAWKINS, EMILY JANE (LCSW)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:JANE
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:HAWKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2670 S 2000 E STE 203
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84109-1783
Mailing Address - Country:US
Mailing Address - Phone:801-960-2550
Mailing Address - Fax:
Practice Address - Street 1:2670 S 2000 E STE 203
Practice Address - Street 2:SUITE 11
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84109-1783
Practice Address - Country:US
Practice Address - Phone:801-960-2550
Practice Address - Fax:801-550-9757
Is Sole Proprietor?:No
Enumeration Date:2010-01-22
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3083029-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical