Lisa Ruth Hawley, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2645 Issued in ND

Practice address

424 3Rd St SE
Devils Lake, ND 58301-3605

Phone

(701) 351-1182

NPI assigned

May 31, 2007

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 3

Medicare fee-for-service enrollment

Enrolled in ND

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advanced Counseling for Change, PLLC

  • Community/Behavioral Health Agency
  • Devils Lake, ND
  • NPI 1700026317
  Medicare reassignment NPD Authorized official
• Blooming Prairie Assessment & Therapy Center P.C.

  • Clinical Psychologist
  • Devils Lake, ND
  • NPI 1649461344
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1891996179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 3RD ST SE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013605",
            "telephone_number": "701-351-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 3RD ST SE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013605",
            "telephone_number": "701-351-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "LISA",
        "middle_name": "RUTH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "2645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28300",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19227",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30987",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Hanson
• Tara Hanson
• Harmony House
• Harmony House
• Jadyn Harpestad
• Danielle Hawn
• Ashton Leigh Hedger, PA-C
• Arlynn Lee Hefta, HEARINGAIDSPECIALIST
• Kayla Lee Heinrich, FNP-C
• Jennifer Heisler, MS CCC-SP

• Social Worker in Devils Lake, ND
• Providers in Devils Lake, ND by specialty
• Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.