Provider Demographics
NPI:1578908059
Name:HAWKS, KATLYN LEIGH (LCSW)
Entity Type:Individual
Prefix:
First Name:KATLYN
Middle Name:LEIGH
Last Name:HAWKS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATLYN
Other - Middle Name:LEIGH
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:5130 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-3444
Mailing Address - Country:US
Mailing Address - Phone:585-344-1421
Mailing Address - Fax:585-345-3080
Practice Address - Street 1:5130 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-3444
Practice Address - Country:US
Practice Address - Phone:585-344-1421
Practice Address - Fax:585-345-3080
Is Sole Proprietor?:No
Enumeration Date:2013-05-09
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY087521-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker