Individual provider Active NPI

Judith A. Hawkins, LCSW-R

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1881077287
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R079202-1 Issued in NY
Practice address
435 New Karner Rd
Albany, NY 12205-3833
Phone
(518) 456-2060
Fax
(518) 456-2361
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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 R079202-1 NY Primary

Addresses

Primary practice location

435 New Karner Rd
Albany, NY 12205-3833

Mailing address

435 New Karner Rd
Albany, NY 12205-3833
Phone (518) 456-2060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150911001208 NY Practitioner - Clinical Social Worker 2365759123 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R079202-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Psychological Associates Clinical PastSince Aug 3, 2015 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1881077287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 NEW KARNER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053833",
            "telephone_number": "518-456-2060",
            "fax_number": "518-456-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 NEW KARNER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053833",
            "telephone_number": "518-456-2060",
            "fax_number": "518-456-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "JUDITH",
        "middle_name": "A.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R079202-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.