Ava Tamiko Nishita-Hawkinson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

25920 Issued in MD

Practice address

225 Broadway Ste 1570
New York, NY 10007-3088

Phone

(650) 281-5436

NPI assigned

Sep 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1780291823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 FALLSWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024800",
            "telephone_number": "443-703-1420",
            "fax_number": "410-837-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 1570",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073088",
            "telephone_number": "650-281-5436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Fallsway",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212024800",
            "country_code": "US",
            "telephone_number": "443-703-1420",
            "fax_number": "410-837-8802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISHITA-HAWKINSON",
        "first_name": "AVA",
        "middle_name": "TAMIKO",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "25920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "383841200",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.downtownsomatictherapy.com/",
            "affiliation": "N",
            "address_1": "225 Broadway Ste 1570",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100073088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yurika Nishikawa, M.D.
• Jennifer Nishimura, MD
• Makoto Nishimura, MD
• Masayo Nishimura, LAC, LMT
• Yukina Cindy Nishio
• Emmanuel Nisimov, M.D.
• Tatyana Nisimova
• Noora Johanna Niskanen, LCSW
• Barton Nisonson, MD
• Gabriella Nissan, PSY.D.

• Social Worker in New York, NY
• Providers in New York, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.