Provider Demographics
NPI:1639975600
Name:HAWLEY-GOMEZ, HANNA (LMSW)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:HAWLEY-GOMEZ
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 PENNSYLVANIA ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-3369
Mailing Address - Country:US
Mailing Address - Phone:785-551-0811
Mailing Address - Fax:
Practice Address - Street 1:840 DELAWARE ST STE 6
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-3061
Practice Address - Country:US
Practice Address - Phone:785-205-6392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS127921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical