Provider Demographics
NPI:1801838453
Name:HAWKINS-PARRY, BETHANY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BETHANY
Middle Name:
Last Name:HAWKINS-PARRY
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 1:20466 CEDAR BEACH RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-4260
Mailing Address - Country:US
Mailing Address - Phone:443-340-3062
Mailing Address - Fax:302-544-4580
Practice Address - Street 1:113 W NORTH ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-2134
Practice Address - Country:US
Practice Address - Phone:302-245-4254
Practice Address - Fax:302-544-4580
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ100008311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000039141Medicaid
DE019476C62Medicare Oscar/Certification