Provider Demographics
NPI:1275562738
Name:HAMMETT, PATRICK THOMAS (MSW)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:THOMAS
Last Name:HAMMETT
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8203 SKIPWITH DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-9499
Mailing Address - Country:US
Mailing Address - Phone:301-698-1154
Mailing Address - Fax:
Practice Address - Street 1:13 E SECOND ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-5302
Practice Address - Country:US
Practice Address - Phone:301-694-8684
Practice Address - Fax:301-694-2984
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD758L715DMedicare ID - Type UnspecifiedMEDICARE PART B