Healthcare Provider Details

I. General information

NPI: 1073434668
Provider Name (Legal Business Name): MONICA EVETTE HAWKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 CHILDRENS LN
NORFOLK VA
23507-1971
US

IV. Provider business mailing address

600 E PRINCESS ANNE RD
NORFOLK VA
23510-3114
US

V. Phone/Fax

Practice location:
  • Phone: 757-668-7980
  • Fax:
Mailing address:
  • Phone: 757-575-0249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904020685
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: