Provider Demographics
NPI:1649611492
Name:HAWKINS, JULIE L (LCSW)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:L
Last Name:HAWKINS
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 1:1601 FRANKLIN TPKE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-1031
Mailing Address - Country:US
Mailing Address - Phone:434-835-1016
Mailing Address - Fax:434-836-8552
Practice Address - Street 1:1601 FRANKLIN TPKE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-1031
Practice Address - Country:US
Practice Address - Phone:434-835-1016
Practice Address - Fax:434-836-8552
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040082261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical