Camille Van Wagoner Hawkins, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

83776633502 Issued in UT

Practice address

12587 S Fort St
Draper, UT 84020-9382

Phone

(801) 203-0244

NPI assigned

Sep 13, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Camille Hawkins, LLC

  • Mental Health Counselor
  • Draper, UT
  • NPI 1770215485
  NPD Authorized official

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1992055255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 W 4805 S",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841291177",
            "telephone_number": "801-487-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12587 S FORT ST",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209382",
            "telephone_number": "801-203-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "CAMILLE",
        "middle_name": "VAN WAGONER",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "83776633502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brock Haskell
• Ashley Grover Hatch
• Traci Lyn Hatch
• Jacob Hatfield
• Sam Hawkes
• Taylor Hawkins
• Morgan Hawthorne
• Loran Patrick Hayes, PH.D.
• Ashlyn Hayne
• Headin' Home Inc.

• Clinical Social Worker in Draper, UT
• Providers in Draper, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.