Tracy Lynn Hawthorne

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1121 E McNichols Rd
Detroit, MI 48203-2857

Phone

(877) 221-1626

NPI assigned

Jul 6, 2017

Sex

Female

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

Interoperability endpoints

• Direct secure messaging: tracy.hawthorne.p1@direct.recovery4detroit.nextgenshare.com

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1407377856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482032857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482032857",
            "telephone_number": "877-221-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toyia Rolene Hawkins
• Hawks No.1 Senior Transportation Service
• Patrick J. Hawley, M.D.
• Robert C. Hawley, M.D.
• Dasherm Hawthorne
• Tyra Hawthorne
• Elizabeth Hay, PHARMD
• Hayaat Home Care LLC
• Kayoko Hayakawa, M.D.
• Alexandria Hayden

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.