Provider Demographics
NPI:1871676890
Name:HAMILTON, ROBIN V (LCPC, CCS, LSW)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:V
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:LCPC, CCS, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 HANCOCK ST STE 2B
Mailing Address - Street 2:FAMILIES AND CHILDREN TOGETHER
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-6573
Mailing Address - Country:US
Mailing Address - Phone:207-941-2347
Mailing Address - Fax:207-990-3316
Practice Address - Street 1:304 HANCOCK ST STE 2B
Practice Address - Street 2:FAMILIES AND CHILDREN TOGETHER
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-6573
Practice Address - Country:US
Practice Address - Phone:207-973-6100
Practice Address - Fax:207-973-6109
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC3370101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME431701899Medicaid