MEDICARE: MORGAN HAWKINS

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	104100000X	Social Worker		NM
2	106S00000X	Behavior Technician		NM

General Provider Information

NPI Number	:	1447049770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN HAWKINS

Provider Business Mailing Address
First Line	:	6300 RIVERSIDE PLAZA LN NW STE 100
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87120-1908
Country	:	US
Telephone Number	:	336-510-7910
Fax Number	:	336-510-9974

Provider Business Practice Location Address
First Line	:	1980 TAPESTRY CIR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88005-4334
Country	:	US
Telephone Number	:	575-640-4051
Fax Number	:

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

Provider Enumeration Date	:	05/02/2025
Last Update Date	:	04/28/2026

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Directions to “ MORGAN HAWKINS ” Practice Location

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