Provider Demographics
NPI:1891965364
Name:HAMMOND, CORIN D (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CORIN
Middle Name:D
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 PHELPS AVE
Mailing Address - Street 2:
Mailing Address - City:ROMEOVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60446-1388
Mailing Address - Country:US
Mailing Address - Phone:815-372-8950
Mailing Address - Fax:815-372-8960
Practice Address - Street 1:34 PHELPS AVE
Practice Address - Street 2:
Practice Address - City:ROMEOVILLE
Practice Address - State:IL
Practice Address - Zip Code:60446-1388
Practice Address - Country:US
Practice Address - Phone:815-372-8950
Practice Address - Fax:815-372-8960
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical