Provider Demographics
NPI:1457906299
Name:HAWS, REBECCA MARIA (LMSW)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:MARIA
Last Name:HAWS
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3391 WAGON WHEEL ST SW
Mailing Address - Street 2:
Mailing Address - City:LOS LUNAS
Mailing Address - State:NM
Mailing Address - Zip Code:87031-6120
Mailing Address - Country:US
Mailing Address - Phone:505-803-9941
Mailing Address - Fax:
Practice Address - Street 1:3391 WAGON WHEEL ST SW
Practice Address - Street 2:
Practice Address - City:LOS LUNAS
Practice Address - State:NM
Practice Address - Zip Code:87031-6120
Practice Address - Country:US
Practice Address - Phone:505-803-9941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSWB-2024-12381041C0700X
NMSWB-2024-04961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical