Individual provider Active NPI

Suzan Lynn Hawkes, PHD, LSCSW

  • Clinical Social Worker
  • Manhattan, KS
National Provider Identifier
1548258049
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1303 Issued in KS
Practice address
1408 Poyntz Ave
Manhattan, KS 66502-4145
Phone
(785) 776-4105
Fax
(785) 537-2299
NPI assigned
Oct 10, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1303 KS Primary

Addresses

Primary practice location

1408 Poyntz Ave
Manhattan, KS 66502-4145

Mailing address

1408 Poyntz Ave
Manhattan, KS 66502-4145
Phone (785) 776-4105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20101007000234 KS Practitioner - Clinical Social Worker 0345432498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Family Counseling IncGroup PAC ID 0547484917, 9 clinicians

Practice addresses (Care Compare)

1408 Poyntz Ave
Manhattan, KS 66502-4145
Phone (785) 776-4105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Family Counseling Inc Clinical CurrentSince May 15, 2014 Accepting new patients

Locations

1408 Poyntz Ave
Manhattan, KS 66502
Phone (785) 776-4105

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548258049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 POYNTZ AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665024145",
            "telephone_number": "785-776-4105",
            "fax_number": "785-537-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 POYNTZ AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665024145",
            "telephone_number": "785-776-4105",
            "fax_number": "785-537-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKES",
        "first_name": "SUZAN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD, LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.