Provider Demographics
NPI:1689070112
Name:HAWKSWORTH, MEGAN EILEEN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:EILEEN
Last Name:HAWKSWORTH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 N LAKE SHORE DR APT 1902
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-4909
Mailing Address - Country:US
Mailing Address - Phone:312-620-9846
Mailing Address - Fax:
Practice Address - Street 1:25 E WASHINGTON ST STE 1051
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1710
Practice Address - Country:US
Practice Address - Phone:312-620-9846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-11
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166001071106H00000X
IL208000336106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist