Provider Demographics
NPI:1437570538
Name:HAWTHORNE, ALISHA K (LMSW)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:K
Last Name:HAWTHORNE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ALISHA
Other - Middle Name:KATHRYN
Other - Last Name:HAWTHORNE CARRASCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:675 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02127-3063
Mailing Address - Country:US
Mailing Address - Phone:617-268-5000
Mailing Address - Fax:617-268-5008
Practice Address - Street 1:675 E 4TH ST
Practice Address - Street 2:
Practice Address - City:SOUTH BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02127-3063
Practice Address - Country:US
Practice Address - Phone:617-268-5000
Practice Address - Fax:617-268-5008
Is Sole Proprietor?:No
Enumeration Date:2013-12-17
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3429571041S0200X
MALICSW11212441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool