Krista Hawkins-Gunn, MA, LLMSW, CAAC,ICRC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6802083410 Issued in MI

Practice address

29530 Bermuda LN
Southfield, MI 48076-5220

Phone

(248) 200-7696

NPI assigned

Mar 23, 2007

Last updated

Jul 17, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1750408035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29530 BERMUDA LN",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765220",
            "telephone_number": "248-200-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29530 BERMUDA LN",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765220",
            "telephone_number": "248-200-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS-GUNN",
        "first_name": "KRISTA",
        "name_prefix": "Ms.",
        "credential": "MA, LLMSW, CAAC,ICRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802083410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akayla Hatchett
• Samantha Hatchett
• Larry Hathorne
• Havenridge Home Care Services LLLC
• Havis Chiropractic PLC
• Brandy Hawkins
• Catina A Hawkins
• Pennie Marie Hawkins
• Robert Hawthorne
• Julie A Hayek, PHD, NCTMB,

• Clinical Social Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.