Provider Demographics
NPI:1245268887
Name:HAWKINS, HEATHER NEEDHAM (LCSW)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:NEEDHAM
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2207 GREENCLIFF DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-3671
Mailing Address - Country:US
Mailing Address - Phone:404-321-6111
Mailing Address - Fax:404-235-3038
Practice Address - Street 1:1670 CLAIRMONT RD
Practice Address - Street 2:VA MEDICAL CENTER 508/170C
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-4004
Practice Address - Country:US
Practice Address - Phone:404-321-6111
Practice Address - Fax:404-235-3038
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0029991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical