Provider Demographics
NPI:1730462300
Name:HAMAMI, AYALA (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:AYALA
Middle Name:
Last Name:HAMAMI
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 E MAIN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-1444
Mailing Address - Country:US
Mailing Address - Phone:774-854-8622
Mailing Address - Fax:
Practice Address - Street 1:5 E MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1444
Practice Address - Country:US
Practice Address - Phone:774-854-8622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1186871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical