MEDICARE: MRS. KATE HAWKINS DAVIS 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	101Y00000X	Counselor	58.016866	CT

General Provider Information

NPI Number	:	1932343043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATE HAWKINS DAVIS LCSW

Provider Business Mailing Address
First Line	:	34 MURRAY ST
Second Line	:
City	:	WATERBURY
State	:	CT
Zip	:	06710-1920
Country	:	US
Telephone Number	:	203-756-8317
Fax Number	:	203-756-8310

Provider Business Practice Location Address
First Line	:	141 E MAIN ST
Second Line	:
City	:	WATERBURY
State	:	CT
Zip	:	06702-2310
Country	:	US
Telephone Number	:	203-574-9000
Fax Number	:

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

Provider Enumeration Date	:	04/21/2009
Last Update Date	:	06/02/2026

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