Tavi Hawn, LCSW-C

Primary specialty

Social WorkerTaxonomy code 104100000X

License

C006592 Issued in NC

Practice address

5717 Falls Rd
Baltimore, MD 21209-3707

Phone

(443) 415-2593

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tavi Hancock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hawn Therapy and Consulting, LLC

  • Clinical Social Worker
  • Towson, MD
  • NPI 1043719891
  NPD (past) Authorized official
• New Leaf Behavioral Health

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1508042003

  Social Worker

  NPD (past)
• New Leaf Behavioral Health

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1720313778
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1770622367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E LAKE AVE APT B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122548",
            "telephone_number": "443-415-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 FALLS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093707",
            "telephone_number": "443-415-2593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Shannon Oaks Circle",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "27511",
            "country_code": "US",
            "telephone_number": "919-654-4583",
            "fax_number": "919-654-4505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWN",
        "first_name": "TAVI",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "C006592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770622367",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAVI",
            "last_name": "HANCOCK",
            "credential": "MA, MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Hawkins, LCPC
• Stephanie Julia Hawkins, MD
• Tadoria Hawkins
• Karen R Hawks
• Kristy Lynn Hawley, MD MPH
• Kimberly Renate Hawrylyshyn, DDS
• Robert Hawthorne, MD, PHD
• Amanda Marie Hawver, RD, LDN
• Raja Yousef Hayajneh
• Brooke Hayashi, D.O.

• Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.