Provider Demographics
NPI:1053477356
Name:HAMMOND, LORELEI J (LCSW)
Entity Type:Individual
Prefix:
First Name:LORELEI
Middle Name:J
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 83
Mailing Address - Street 2:
Mailing Address - City:POINT ARENA
Mailing Address - State:CA
Mailing Address - Zip Code:95468-0083
Mailing Address - Country:US
Mailing Address - Phone:707-462-4154
Mailing Address - Fax:707-468-5618
Practice Address - Street 1:406 W STANDLEY ST
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-4348
Practice Address - Country:US
Practice Address - Phone:707-462-4154
Practice Address - Fax:707-468-5618
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW147691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical