Individual provider Active NPI

Susan Carla Hawkins, R CSW

  • Clinical Social Worker
  • Fayetteville, NY
National Provider Identifier
1659438661
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73037747 Issued in NY
Practice address
7000 E Genesee St
Building B
Fayetteville, NY 13066-1131
Phone
(315) 449-4556
NPI assigned
Jan 2, 2007
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 73037747 NY Primary

Addresses

Primary practice location

7000 E Genesee St
Building B
Fayetteville, NY 13066-1131

Mailing address

7000 East Genessee Street
Building B
Fayetteville,, NY 13224
Phone (315) 449-4556

Other names 1

  • Ms. Susan Carla Hawkins Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050216000138 NY Practitioner - Clinical Social Worker 8022060201 Practice locations: Syracuse, NY

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

Practice addresses (Care Compare)

106 Standish Dr
Syracuse, NY 13224-1750
Phone (315) 449-4556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
73037747NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659438661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 EAST GENESSEE STREET",
            "address_2": "BUILDING B",
            "city": "FAYETTEVILLE,",
            "state": "NY",
            "postal_code": "13224",
            "telephone_number": "315-449-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 E GENESEE ST",
            "address_2": "BUILDING B",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661131",
            "telephone_number": "315-449-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "SUSAN",
        "middle_name": "CARLA",
        "name_prefix": "Ms.",
        "credential": "R CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73037747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HAWKINS",
            "middle_name": "CARLA",
            "prefix": "MS.",
            "credential": "R CSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, NY

Sources for this page

Verify at the official NPI Registry.