MEDICARE: DR. PATRICIA DINNEN HAWKINS PSYCHOLOGIST, LICSW

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	103TC0700X	Clinical Psychologist	PSY701	DC
2	103TC0700X	Clinical Psychologist	01326	MD
3	1041C0700X	Clinical Social Worker	LC301454	DC

General Provider Information

NPI Number	:	1306961438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA DINNEN HAWKINS PSYCHOLOGIST, LICSW

Provider Business Mailing Address
First Line	:	2982 MOURNING DOVE PL UNIT G
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20603-5971
Country	:	US
Telephone Number	:	202-486-8950
Fax Number	:	202-797-3504

Provider Business Practice Location Address
First Line	:	1407 S ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-3819
Country	:	US
Telephone Number	:	202-797-3513
Fax Number	:	202-797-3504

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	09/11/2025

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