Provider Demographics
NPI:1104019942
Name:HAMM, HARVEY DARNELL (LCSW-C, LICSW)
Entity Type:Individual
Prefix:
First Name:HARVEY
Middle Name:DARNELL
Last Name:HAMM
Suffix:
Gender:M
Credentials:LCSW-C, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14706 HAWLEY LN
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-8949
Mailing Address - Country:US
Mailing Address - Phone:301-390-2255
Mailing Address - Fax:
Practice Address - Street 1:9500 ARENA DR
Practice Address - Street 2:460-E
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-3701
Practice Address - Country:US
Practice Address - Phone:240-601-9963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD132471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical