Provider Demographics
NPI:1770220154
Name:HAWKINS, JAMES JOSEPH (LMSW, PSYD, DMIN)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:JOSEPH
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:LMSW, PSYD, DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1479 AVENIDA ASHFORD APT 1919
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1554
Mailing Address - Country:US
Mailing Address - Phone:914-589-2816
Mailing Address - Fax:
Practice Address - Street 1:1479 AVENIDA ASHFORD APT 1107
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1541
Practice Address - Country:US
Practice Address - Phone:914-589-2816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-17
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0209981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical