Kathleen Rae Hawk, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

03179 Issued in IA

Practice address

312 E Alta Vista Ave
Behavioral Health Counseling Services
Ottumwa, IA 52501-1413

Phone

(641) 684-3135

Fax

(641) 684-3198

NPI assigned

Aug 30, 2005

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

Other identifiers 5

Other names 1

• Kathleen Rae Ogden Former name

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.

• Ottumwa Regional Health Center Inc

  • Home Health Agency
  • Ottumwa, IA
  • NPI 1750383055
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1427041011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E ALTA VISTA AVE",
            "address_2": "BEHAVIORAL HEALTH COUNSELING SERVICES",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525011413",
            "telephone_number": "641-684-3135",
            "fax_number": "641-684-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E ALTA VISTA AVE",
            "address_2": "BEHAVIORAL HEALTH COUNSELING SERVICES",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525011413",
            "telephone_number": "641-684-3135",
            "fax_number": "641-684-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWK",
        "first_name": "KATHLEEN",
        "middle_name": "RAE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "03179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH",
            "identifier": "420681060A9",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "I020",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA HEALTH SOLUTIONS",
            "identifier": "207475",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268730",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "420681060A9",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "OGDEN",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Hart, LISW
• Christine Hartman-Jarr, LMHC
• Leslie Hartman
• Ron Cole Hartman, PHARMD
• Tracy L Hatfield
• Heartland Eye Care PLC
• Heartland Medical Transport LLC
• Lynette Sue Heaton
• Christopher Patrick Hecker, P.T.A.
• Amanda Hedge, ARNP

• Social Worker in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.