Provider Demographics
NPI:1407610470
Name:HAWTHORNE, SIERRA (MSW)
Entity Type:Individual
Prefix:
First Name:SIERRA
Middle Name:
Last Name:HAWTHORNE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 LAKECHIME DR
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94089-2539
Mailing Address - Country:US
Mailing Address - Phone:408-522-8272
Mailing Address - Fax:
Practice Address - Street 1:750 LAKECHIME DR
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94089-2539
Practice Address - Country:US
Practice Address - Phone:408-522-8272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool