Individual provider Active NPI

Marie J. Hawe, L.C.S.W.

  • Clinical Social Worker
  • Stamford, CT
National Provider Identifier
1689761850
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005632 Issued in CT
Practice address
447 Glenbrook Rd
Stamford, CT 06906-1820
Phone
(203) 249-1184
NPI assigned
Oct 6, 2006
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 005632 CT Primary

Addresses

Primary practice location

447 Glenbrook Rd
Stamford, CT 06906-1820

Mailing address

20 Allison Rd
Stamford, CT 06902-7115
Phone (203) 249-1184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20050225000315 CT Practitioner - Clinical Social Worker 0446203855 Practice locations: Stamford, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

447 Glenbrook Rd
Stamford, CT 06906-1820
Phone (203) 249-1184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5632CTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689761850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ALLISON RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069027115",
            "telephone_number": "203-249-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 GLENBROOK RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069061820",
            "telephone_number": "203-249-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWE",
        "first_name": "MARIE",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.