Provider Demographics
NPI:1467576678
Name:HANKINS, CESHAUN (LCSW)
Entity Type:Individual
Prefix:
First Name:CESHAUN
Middle Name:
Last Name:HANKINS
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 1:520 SW YAMHILL ST STE 345
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97204-1335
Mailing Address - Country:US
Mailing Address - Phone:503-386-1515
Mailing Address - Fax:503-386-1522
Practice Address - Street 1:520 SW YAMHILL ST STE 345
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-1335
Practice Address - Country:US
Practice Address - Phone:503-386-1515
Practice Address - Fax:503-386-1522
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA623971041C0700X
ORL81331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical