MEDICARE: MS. SYLVIA A HAWLEY LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCS 15523	CA

General Provider Information

NPI Number	:	1225168289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SYLVIA A HAWLEY LCSW

Provider Business Mailing Address
First Line	:	2221 ENBORG LN
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-2608
Country	:	US
Telephone Number	:	408-885-6276
Fax Number	:	408-885-3977

Provider Business Practice Location Address
First Line	:	2221 ENBORG LN
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-2608
Country	:	US
Telephone Number	:	408-885-6276
Fax Number	:	408-885-3977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	03/13/2013

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