Suzanne Nicole Hawley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015316 Issued in IL

Practice address

1617 South Blvd
Evanston, IL 60202-2745

Phone

(773) 629-0864

NPI assigned

Jul 19, 2019

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

Other names 1

• Ms. Suzanne Nicole Nathan Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1780237669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 SOUTH BLVD",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022745",
            "telephone_number": "773-629-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 SOUTH BLVD",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022745",
            "telephone_number": "773-629-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "SUZANNE",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzanne.hawley@ableto.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1617 South Blvd",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602022745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "NATHAN",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jordan Lynn Hauck, MS, ATC
• Blair Thomas Haugh
• Megan Haughey
• Anastasia Marie Haupt, D.D.S.
• David Lang Hauser, PH.D.
• Ilda Haxhistasa, PHARMD
• Heidi Johnston Hayden, LCPC
• Robert Lawrence Hayden, PHD
• Pamela W Hazard, M.D.
• Christine Hazelett, LCPC ATR-BC

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.