Active NPI
Christopher Clark Hawk, LCSW
- Clinical Social Worker
- Mount Pleasant, UT
National Provider Identifier
1669948899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5331963-3501
- Practice address
- 120 S 100 W
Mount Pleasant, UT 84647-1509 - Phone
- (435) 659-9294
- NPI assigned
- Oct 15, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5331963-3501 | UT | Primary |
Addresses
Primary practice location
120 S 100 W
Mount Pleasant, UT 84647-1509
Mailing address
PO Box 581074
Salt Lake City, UT 84158-1074
Phone (435) 659-9294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5331963-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1669948899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 581074",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841581074",
"telephone_number": "435-659-9294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S 100 W",
"city": "MOUNT PLEASANT",
"state": "UT",
"postal_code": "846471509",
"telephone_number": "435-659-9294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWK",
"first_name": "CHRISTOPHER",
"middle_name": "CLARK",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-15",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "5331963-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.