Sherry Hawthorne, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

03799 Issued in TX

Practice address

2378 County Road 256
Nacogdoches, TX 75965-0420

Phone

(936) 569-8132

NPI assigned

Aug 8, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Courtesy Healthcare Services, LLC.

  • Adult Day Care Clinic/Center
  • Livingston, TX
  • NPI 1285861807
  NPD (past)
• Lakeland Health Services, LLC

  • Adult Day Care Clinic/Center
  • Livingston, TX
  • NPI 1972807212
  NPD (past)

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

{
    "created_epoch": "1249689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249689600000",
    "number": "1235360264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2378 COUNTY ROAD 256",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759650420",
            "telephone_number": "936-569-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2378 COUNTY ROAD 256",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759650420",
            "telephone_number": "936-569-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "SHERRY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-08",
        "last_updated": "2009-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "03799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108176202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tony Haskins, M.D.
• Tristan James Hathorn-Wilkins, MA, LPC
• Whitney Havins, COTA
• Linda Kay Hawkins, LVN
• Celina Maria Hawthorne, OTR, OTD
• Gayla Hayes, LVN
• Neal Gregory Haynes, M.D.
• Head Pediatrics PLLC
• Rachel B Head, MD
• Ryan Head, M.D.

• Clinical Social Worker in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2009; 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.