Individual provider Active NPI

Hannah Renee Hawksworth, MSW, LCSW, LCAS

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1083096200
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010970 Issued in NC
Practice address
5041 New Centre Dr Ste 115
Wilmington, NC 28403-1624
Phone
(910) 805-3160
Fax
(910) 401-1810
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-21727 NC
Clinical Social Worker 1041C0700X C010970 NC Primary

Addresses

Primary practice location

5041 New Centre Dr Ste 115
Wilmington, NC 28403-1624

Mailing address

805 Riddick CT
Wilmington, NC 28409-6002
Phone (910) 352-4342

Other practice location 1

5041 New Centre Dr
Suite 200
Wilmington, NC 28403-1680
Phone (910) 769-5523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180525001273 NC Practitioner - Clinical Social Worker 9830454693 Practice locations: Wilmington, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4006 Oleander Dr
Suite 204
Wilmington, NC 28403-6808
Phone (910) 231-6112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-21727NCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083096200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 RIDDICK CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284096002",
            "telephone_number": "910-352-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 NEW CENTRE DR STE 115",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031624",
            "telephone_number": "910-805-3160",
            "fax_number": "910-401-1810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5041 New Centre Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284031680",
            "country_code": "US",
            "telephone_number": "910-769-5523",
            "fax_number": "910-769-5524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKSWORTH",
        "first_name": "HANNAH",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-21727",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.