Provider Demographics
NPI:1801984984
Name:HAWKINS, VICKIE VERONA (LCSW)
Entity type:Individual
Prefix:MS
First Name:VICKIE
Middle Name:VERONA
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 1:999 WATERSIDE DR STE 2525
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-3316
Mailing Address - Country:US
Mailing Address - Phone:757-777-3710
Mailing Address - Fax:757-277-0280
Practice Address - Street 1:999 WATERSIDE DR STE 2525
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-3316
Practice Address - Country:US
Practice Address - Phone:757-777-3710
Practice Address - Fax:757-277-0280
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040025891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA008931569Medicaid
VA010319382Medicaid
VA462975949Medicaid
VA010129311Medicaid
VA010129541Medicaid
VA010129605Medicaid