Provider Demographics
NPI:1427181171
Name:HAMEL, DIANE L (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:DIANE
Middle Name:L
Last Name:HAMEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 LEDGEMONT DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-3803
Mailing Address - Country:US
Mailing Address - Phone:401-333-0743
Mailing Address - Fax:
Practice Address - Street 1:141 OLO ST
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-8702
Practice Address - Country:US
Practice Address - Phone:401-766-1010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW00844101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health