Provider Demographics
NPI:1750472361
Name:HAMMER, MICHAELA L (LCSW, PSYD)
Entity Type:Individual
Prefix:DR
First Name:MICHAELA
Middle Name:L
Last Name:HAMMER
Suffix:
Gender:F
Credentials:LCSW, PSYD
Other - Prefix:DR
Other - First Name:MICHAELA
Other - Middle Name:L
Other - Last Name:STENGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1514 WILLSON AVE
Mailing Address - Street 2:
Mailing Address - City:WEBSTER CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50595-2842
Mailing Address - Country:US
Mailing Address - Phone:772-882-5010
Mailing Address - Fax:
Practice Address - Street 1:1940 10TH AVE STE B
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6458
Practice Address - Country:US
Practice Address - Phone:772-882-5010
Practice Address - Fax:877-904-0056
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW154121041C0700X
FLAI103A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical