Provider Demographics
NPI:1063422665
Name:HAWKINS, HUEY LEE JR (LCSW)
Entity type:Individual
Prefix:MR
First Name:HUEY
Middle Name:LEE
Last Name:HAWKINS
Suffix:JR
Gender:M
Credentials:LCSW
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Mailing Address - Street 1:4311 ROLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-2523
Mailing Address - Country:US
Mailing Address - Phone:314-882-6840
Mailing Address - Fax:314-427-2303
Practice Address - Street 1:7700 CLAYTON RD STE 201
Practice Address - Street 2:
Practice Address - City:RICHMOND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63117-1346
Practice Address - Country:US
Practice Address - Phone:314-882-6840
Practice Address - Fax:314-427-2303
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2020-04-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL149.0114311041C0700X
IL149-0114311041C0700X
MO20020272471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO495953002Medicaid
MO495953002Medicaid