Provider Demographics
NPI:1740055896
Name:HAWTHORNE, SKYLAR (MSW)
Entity type:Individual
Prefix:
First Name:SKYLAR
Middle Name:
Last Name:HAWTHORNE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279 BROOME ST APT 6B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-3778
Mailing Address - Country:US
Mailing Address - Phone:203-913-0552
Mailing Address - Fax:
Practice Address - Street 1:330 W 58TH ST STE 401
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1821
Practice Address - Country:US
Practice Address - Phone:121-257-5476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker