MEDICARE: MR. WADE BEASLEY 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	C008551	NC

General Provider Information

NPI Number	:	1669800306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WADE BEASLEY HAWKINS LCSW

Provider Business Mailing Address
First Line	:	15 HUBBARD AVE
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28806-4016
Country	:	US
Telephone Number	:	404-274-5272
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 WOODFIN PL STE 304
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-2466
Country	:	US
Telephone Number	:	404-274-5272
Fax Number	:

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

Provider Enumeration Date	:	10/16/2013
Last Update Date	:	10/05/2020

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