Provider Demographics
NPI:1073810891
Name:HAMMOND, GAIL S (LCSW)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:S
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 1:295 S CULVER ST STE A
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-3239
Mailing Address - Country:US
Mailing Address - Phone:470-304-6536
Mailing Address - Fax:
Practice Address - Street 1:295 S CULVER ST STE A
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-3239
Practice Address - Country:US
Practice Address - Phone:770-217-7903
Practice Address - Fax:770-995-0171
Is Sole Proprietor?:No
Enumeration Date:2011-02-14
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0032471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical