Individual provider Active NPI

David Lawrence-Hawley, LCSW

  • Clinical Social Worker
  • West Hartford, CT
National Provider Identifier
1013215201
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5572 Issued in CT
Practice address
61 S Main St Ste 214
West Hartford, CT 06107-2486
Phone
(860) 969-2399
Fax
(860) 215-3016
NPI assigned
Mar 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5572 CT Primary

Addresses

Primary practice location

61 S Main St Ste 214
West Hartford, CT 06107-2486

Mailing address

140 N Frontage Rd
Mansfield Center, CT 06250-1648
Phone (860) 456-2261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240326002909 CT Practitioner - Clinical Social Worker 9032556014 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5572CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Services Inc CurrentSince Nov 18, 2024 Accepting new patients

Locations

140 N Frontage Rd
Mansfield Ctr, CT 06250
Phone (860) 456-2261

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1013215201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N FRONTAGE RD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501648",
            "telephone_number": "860-456-2261",
            "fax_number": "860-450-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 S MAIN ST STE 214",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072486",
            "telephone_number": "860-969-2399",
            "fax_number": "860-215-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE-HAWLEY",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-11",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "5572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.