Provider Demographics
NPI:1740560952
Name:HAMMOND, HANNAH LEIGH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:LEIGH
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:HANNAH
Other - Middle Name:LEIGH
Other - Last Name:HAMMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:76 W MAIN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-1683
Mailing Address - Country:US
Mailing Address - Phone:385-236-4001
Mailing Address - Fax:
Practice Address - Street 1:76 W MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003
Practice Address - Country:US
Practice Address - Phone:385-236-4001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-18
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
UT8272351-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker