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NPI Code Detail

MEDICARE: CHRISTOPHER DOYLE HAWKS MSW, LCSW-C

MEDICARE: CHRISTOPHER DOYLE HAWKS MSW, LCSW-C
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
11041C0700XClinical Social Worker25420MD

General Provider Information

NPI Number : 1770122673
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER DOYLE HAWKS MSW, LCSW-C
Provider Business Mailing Address
First Line : 7544 MANDAN RD
Second Line :
City : GREENBELT
State : MD
Zip : 20770-2170
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8120 WOODMONT AVE STE 840
Second Line :
City : BETHESDA
State : MD
Zip : 20814-2789
Country : US
Telephone Number : 240-618-2889
Fax Number : 240-623-9858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2019
Last Update Date : 11/16/2023

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