| Annette Hawley, Lcsw Inc. | |
|
955 Lemonwood Ct Hollywood FL 33019-4872 | |
| (305) 318-2878 | |
| (954) 922-5658 |
| Full Name | Annette Hawley, Lcsw Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 955 Lemonwood Ct, Hollywood, Florida |
| Authorized Official Name and Position | Annette Hawley (PRESIDENT) |
| Authorized Official Contact | 3053182878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Annette Hawley, Lcsw Inc. 955 Lemonwood Ct Hollywood FL 33019-4872 Ph: (305) 318-2878 | Annette Hawley, Lcsw Inc. 955 Lemonwood Ct Hollywood FL 33019-4872 Ph: (305) 318-2878 |
| NPI Number | 1053355883 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2567489461 |
|---|---|
| Medicare Enrollment ID | O20051031000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053355883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW4993 (Florida) | Primary |
| Provider Name | Annette B Hawley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063464998 PECOS PAC ID: 7810914710 Enrollment ID: I20051101000029 |
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