Provider Demographics
NPI:1326236480
Name:HAMMOCK, MONICA LEIGH (LICSW)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:LEIGH
Last Name:HAMMOCK
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 INGLESIDE TER NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-1009
Mailing Address - Country:US
Mailing Address - Phone:202-361-2350
Mailing Address - Fax:877-538-5940
Practice Address - Street 1:4545 42ND ST NW STE 201
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4623
Practice Address - Country:US
Practice Address - Phone:202-656-3438
Practice Address - Fax:877-538-5940
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-13
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD127281041C0700X
DCLC500779671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical