Roma Dee Hawkins, LCSW 28701

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28701 Issued in ID

Practice address

1135 Stanger Ave
Idaho Falls, ID 83404-5523

Phone

(208) 681-4578

NPI assigned

Oct 25, 2010

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

Medicare fee-for-service enrollment

Enrolled in ID

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, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Starr Family Behavioral Health LLCGroup PAC ID 8123390317, 3 clinicians

Practice addresses (Care Compare)

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.

• S.T.a.R.R. Family Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1033378146
  Medicare reassignment Care Compare group
• Starr Family Behavioral Health

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1548640964
  NPD (past)

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1942500996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 STANGER AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045523",
            "telephone_number": "208-681-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 STANGER AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045523",
            "telephone_number": "208-681-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "ROMA",
        "middle_name": "DEE",
        "name_prefix": "Ms.",
        "credential": "LCSW 28701",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "28701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marten Hatch, LCSW
• Isaac Nathaniel Hatfield, RBT
• Madison Hathaway, LMSW
• Scott Havard, DNP, CRNA
• Kyle Hawkes, MSN, RN
• Alyssa Hawley
• Luke N/a Haws, DO
• Steven D. Hay, PH.D., MSW
• Healing Hands for the Soul Massage Inc
• Healing Heands Reiki and Massage, LLC

• Clinical Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.