Provider Demographics
NPI:1962381178
Name:HAWES, JENNIFER (MSW, LISW-CP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:HAWES
Suffix:
Gender:F
Credentials:MSW, LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 BRIDGES RD STE E
Mailing Address - Street 2:
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-3260
Mailing Address - Country:US
Mailing Address - Phone:864-603-0662
Mailing Address - Fax:
Practice Address - Street 1:140 BRIDGES RD STE E
Practice Address - Street 2:
Practice Address - City:MAULDIN
Practice Address - State:SC
Practice Address - Zip Code:29662-3260
Practice Address - Country:US
Practice Address - Phone:864-603-0662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC181971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical