Provider Demographics
NPI:1326405580
Name:HAMILTON, ROBERT A III (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:A
Last Name:HAMILTON
Suffix:III
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:BOBBY
Other - Middle Name:
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:16121 JAMAICA AVE FL 7
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-6113
Mailing Address - Country:US
Mailing Address - Phone:187-896-2500
Mailing Address - Fax:718-459-6542
Practice Address - Street 1:16121 JAMAICA AVE FL 7
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-6113
Practice Address - Country:US
Practice Address - Phone:718-896-2500
Practice Address - Fax:718-459-6542
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-19
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY090621104100000X
NY0867771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker