Individual provider Active NPI

Huey Lee Hawkins Jr., L.C.S.W.

  • Clinical Social Worker
  • Richmond Heights, MO
National Provider Identifier
1063422665
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2002027247 Issued in MO
Practice address
7700 Clayton Rd Ste 201
Richmond Heights, MO 63117-1346
Phone
(314) 882-6840
Fax
(314) 427-2303
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149-011431 IL
Community/Behavioral Health Agency 251S00000X 149-011431 IL
Clinical Social Worker 1041C0700X 2002027247 MO Primary
Clinical Social Worker 1041C0700X 149.011431 IL
Community/Behavioral Health Agency 251S00000X 2002027247 MO

Addresses

Primary practice location

7700 Clayton Rd Ste 201
Richmond Heights, MO 63117-1346

Mailing address

4311 Roland Blvd
Saint Louis, MO 63121-2523
Phone (314) 882-6840

Other practice location 1

8434 Page Ave
Saint Louis, MO 63130-1046
Phone (314) 882-6840

Other identifiers 1

IdentifierTypeStateIssuer
495953002MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080520000068 MO Practitioner - Clinical Social Worker 2365511102
I20220418002225 IL Practitioner - Clinical Social Worker 2365511102 Reassigns benefits to 1 organization
I20250703002015 CA Practitioner - Clinical Social Worker 2365511102 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-011431ILMDClinical Social Worker
149.011431ILMDClinical Social Worker
2002027247MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Boyhood Initiative of Missouri Community/Behavioral Health Current Accepting new patients

Locations

8434 Page Ave
Saint Louis, MO 63130
Phone (314) 724-5008

Organizations & group practices 3

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1063422665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 ROLAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631212523",
            "telephone_number": "314-882-6840",
            "fax_number": "314-427-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 CLAYTON RD STE 201",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171346",
            "telephone_number": "314-882-6840",
            "fax_number": "314-427-2303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8434 Page Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631301046",
            "country_code": "US",
            "telephone_number": "314-882-6840",
            "fax_number": "314-427-2303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "HUEY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-011431",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149-011431",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2002027247",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.011431",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2002027247",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495953002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, MO

Sources for this page

Verify at the official NPI Registry.