MEDICARE: MRS. BETHANY HAWKINS-PARRY 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	Q10000831	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801838453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BETHANY HAWKINS-PARRY LCSW

Provider Business Mailing Address
First Line	:	20466 CEDAR BEACH RD
Second Line	:
City	:	MILFORD
State	:	DE
Zip	:	19963-4260
Country	:	US
Telephone Number	:	443-340-3062
Fax Number	:	302-544-4580

Provider Business Practice Location Address
First Line	:	113 W NORTH ST
Second Line	:
City	:	GEORGETOWN
State	:	DE
Zip	:	19947-2134
Country	:	US
Telephone Number	:	302-245-4254
Fax Number	:	302-544-4580

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

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	04/04/2018

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