Healthcare Provider Details
I. General information
NPI: 1427530500
Provider Name (Legal Business Name): SIERRA HAWKINS LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/05/2018
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
444 BUTTERFLY GARDENS DR
COLUMBUS OH
43215-3427
US
IV. Provider business mailing address
700 CHILDRENS DR
COLUMBUS OH
43205-2664
US
V. Phone/Fax
- Phone: 614-355-8508
- Fax:
- Phone: 614-722-6200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | S.1903959 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: