Derek Hawkins, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

11 Farber Drive
Unit D
Bellport, NY 11713

Phone

(631) 286-0700

Fax

(631) 286-0688

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Outreach Development Corporation

  • Addiction (Substance Use Disorder) Counselor
  • Richmond Hill, NY
  • NPI 1083717326
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1073695540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FARBER DRIVE",
            "address_2": "UNIT D",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "11713",
            "telephone_number": "631-286-0700",
            "fax_number": "631-286-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FARBER DRIVE",
            "address_2": "UNIT D",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "11713",
            "telephone_number": "631-286-0700",
            "fax_number": "631-286-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "DEREK",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annamaria C Grigoli
• Carlos Ruben Gutierrez, LCSW
• Addie Hampton, CASAC LMHC CRC LPN
• Stephanie Hannigan, SLP
• Tempest Harvey, LPN
• Jessica Henderson-Gray, LPN
• Emily Hennin
• La'Chelle R Henry, LPN
• Annette Holmes, L.P.N.
• Barbara Homan, LPN

• Clinical Social Worker in Bellport, NY
• Providers in Bellport, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.