Provider Demographics
NPI:1356443873
Name:HAMMEL, KATHY JEAN (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:JEAN
Last Name:HAMMEL
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 1:22 CULMORE CT
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-7427
Mailing Address - Country:US
Mailing Address - Phone:410-308-0919
Mailing Address - Fax:
Practice Address - Street 1:2045 YORK RD
Practice Address - Street 2:3RD FLOOR
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-4230
Practice Address - Country:US
Practice Address - Phone:410-560-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD112461041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist