MEDICARE: NATHANIEL WILLIAM HAWKINS LCSW

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	1041C0700X	Clinical Social Worker	68527	TX

General Provider Information

NPI Number	:	1497243646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHANIEL WILLIAM HAWKINS LCSW

Provider Business Mailing Address
First Line	:	1900 COLA DR
Second Line	:
City	:	VAN ALSTYNE
State	:	TX
Zip	:	75495-8309
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 N MCDONALD ST STE 607
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75069-2119
Country	:	US
Telephone Number	:	817-459-2433
Fax Number	:

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

Provider Enumeration Date	:	04/24/2018
Last Update Date	:	02/26/2026

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