Provider Demographics
NPI:1255466025
Name:HAMILL, JANET M (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:M
Last Name:HAMILL
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 LINSLADE ST
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2129
Mailing Address - Country:US
Mailing Address - Phone:301-765-0400
Mailing Address - Fax:301-765-9640
Practice Address - Street 1:801 LINSLADE ST
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-2129
Practice Address - Country:US
Practice Address - Phone:301-765-0400
Practice Address - Fax:301-765-9640
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD082821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD491607Medicare ID - Type UnspecifiedPSYCHOTHERAPY