Provider Demographics
NPI:1508505652
Name:HAMILTON THERAPEUTIC SERVICES
Entity Type:Organization
Organization Name:HAMILTON THERAPEUTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:O
Authorized Official - Last Name:BURKE- HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:771-201-5007
Mailing Address - Street 1:70 I ST SE APT 1215
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-4841
Mailing Address - Country:US
Mailing Address - Phone:771-201-5007
Mailing Address - Fax:
Practice Address - Street 1:70 I ST SE APT 1215
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4841
Practice Address - Country:US
Practice Address - Phone:771-201-5007
Practice Address - Fax:771-201-5007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-27
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCLC50079018OtherLICSW