Provider Demographics
NPI:1306961438
Name:HAWKINS, PATRICIA DINNEN (PSYCHOLOGIST, LICSW)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:DINNEN
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:PSYCHOLOGIST, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2982 MOURNING DOVE PL UNIT G
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-5971
Mailing Address - Country:US
Mailing Address - Phone:202-486-8950
Mailing Address - Fax:202-797-3504
Practice Address - Street 1:1407 S ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-3819
Practice Address - Country:US
Practice Address - Phone:202-797-3513
Practice Address - Fax:202-797-3504
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY701103TC0700X
MD01326103TC0700X
DCLC3014541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical