Provider Demographics
NPI:1265201909
Name:BURNEY-HAWKINS, ERICKA D (MSW, LSW)
Entity type:Individual
Prefix:MISS
First Name:ERICKA
Middle Name:D
Last Name:BURNEY-HAWKINS
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:MISS
Other - First Name:ERICKA
Other - Middle Name:D
Other - Last Name:BURNEY-HAWKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSSA, LSW
Mailing Address - Street 1:735 ROSCOE AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-2561
Mailing Address - Country:US
Mailing Address - Phone:330-604-7272
Mailing Address - Fax:
Practice Address - Street 1:735 ROSCOE AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-2561
Practice Address - Country:US
Practice Address - Phone:330-604-7272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-21
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2411394101YM0800X, 171M00000X, 172V00000X, 174H00000X, 101Y00000X, 221700000X, 251B00000X, 251S00000X, 405300000X, 104100000X
OHRN992602172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker
No172A00000XOther Service ProvidersDriver
No174H00000XOther Service ProvidersHealth Educator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No405300000XOther Service ProvidersPrevention Professional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH171M00000XMedicaid