Healthcare Provider Details

I. General information

NPI: 1487371480
Provider Name (Legal Business Name): GABRIELA HAWORTH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2022
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7201 E 31ST PL
YUMA AZ
85365-8394
US

IV. Provider business mailing address

2400 S AVENUE A
YUMA AZ
85364-7127
US

V. Phone/Fax

Practice location:
  • Phone: 928-336-5660
  • Fax: 928-336-5672
Mailing address:
  • Phone: 928-344-2000
  • Fax: 928-336-5672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-23938
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: