Provider Demographics
NPI:1235161969
Name:HAMMOND, JAMES HERBERT (LCSW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:HERBERT
Last Name:HAMMOND
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:ME
Mailing Address - Zip Code:04344-2836
Mailing Address - Country:US
Mailing Address - Phone:207-582-8515
Mailing Address - Fax:
Practice Address - Street 1:17 GRANT ST
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:ME
Practice Address - Zip Code:04344-2836
Practice Address - Country:US
Practice Address - Phone:207-582-8515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0556491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical