Provider Demographics
NPI:1871825257
Name:HAMILTON, JESSICA ERIN (MSW)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ERIN
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:JESSICA
Other - Middle Name:ERIN
Other - Last Name:MOYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 61693
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-6056
Mailing Address - Country:US
Mailing Address - Phone:949-444-2851
Mailing Address - Fax:
Practice Address - Street 1:2222 MARTIN
Practice Address - Street 2:SUITE 200
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-1458
Practice Address - Country:US
Practice Address - Phone:949-444-2851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-09
Last Update Date:2013-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical