Provider Demographics
NPI:1457441552
Name:HAMDI, JUDITH VERMET (LCSW, CASAC)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:VERMET
Last Name:HAMDI
Suffix:
Gender:F
Credentials:LCSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 WARREN ST
Mailing Address - Street 2:SUITE # 206
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-4558
Mailing Address - Country:US
Mailing Address - Phone:518-761-9977
Mailing Address - Fax:518-761-2044
Practice Address - Street 1:5 WARREN ST
Practice Address - Street 2:SUITE # 206
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-4558
Practice Address - Country:US
Practice Address - Phone:518-761-9977
Practice Address - Fax:518-761-2044
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY541101YA0400X
NYR0358811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000406568002OtherBLUE CROSS/BLUE SHIELD
NYN7L54OtherEMPIRE BLUE CROSS
NY035881OtherSHARED HEALTH
NY100068477001OtherAPS
NY362378OtherMVP
NY523969OtherVALUE OPTIONS
NYP89062Medicare UPIN
NY100068477001OtherAPS