Active NPI
Heather Michelle Hawkins, MSW, LCSW
- Clinical Social Worker
- Salem, OR
National Provider Identifier
1275830713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L6533
- Practice address
- 890 Oak St SE BLDG C
Salem, OR 97301-3905 - Phone
- (503) 561-3133
- Fax
- (503) 561-1495
- NPI assigned
- Feb 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | L6533 | OR | Primary |
Addresses
Primary practice location
890 Oak St SE BLDG C
Salem, OR 97301-3905
Mailing address
890 Oak St SE BLDG C
P.O. Box 14001
Salem, OR 97301-3905
Phone (503) 561-3133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Colorado, P.C. | Clinical | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- De Pere, WI
- NPI 1396622494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1275830713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 OAK ST SE BLDG C",
"address_2": "P.O. BOX 14001",
"city": "SALEM",
"state": "OR",
"postal_code": "973013905",
"telephone_number": "503-561-3133",
"fax_number": "503-561-1495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 OAK ST SE BLDG C",
"city": "SALEM",
"state": "OR",
"postal_code": "973013905",
"telephone_number": "503-561-3133",
"fax_number": "503-561-1495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "HEATHER",
"middle_name": "MICHELLE",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-18",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L6533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.