Provider Demographics
NPI:1922266725
Name:HAWKINS, ARLENE C
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:C
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:MRS
Other - First Name:ARLENE
Other - Middle Name:C
Other - Last Name:HAWKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2384 WINSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-4215
Mailing Address - Country:US
Mailing Address - Phone:770-981-3879
Mailing Address - Fax:770-719-9738
Practice Address - Street 1:500 W LANIER AVE STE 904
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-7641
Practice Address - Country:US
Practice Address - Phone:678-817-1120
Practice Address - Fax:770-719-9738
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW001144104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker