Provider Demographics
NPI:1487371480
Name:HAWORTH, GABRIELA (LMSW)
Entity type:Individual
Prefix:MRS
First Name:GABRIELA
Middle Name:
Last Name:HAWORTH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3077 W LISBON ST
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-5056
Mailing Address - Country:US
Mailing Address - Phone:928-503-9927
Mailing Address - Fax:
Practice Address - Street 1:3077 W LISBON ST
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-5056
Practice Address - Country:US
Practice Address - Phone:928-503-9927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-7475T104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker