Provider Demographics
NPI:1922471614
Name:HAMEL, CHARLES DION (LMSW)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:DION
Last Name:HAMEL
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25884
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87125-0884
Mailing Address - Country:US
Mailing Address - Phone:505-884-4464
Mailing Address - Fax:505-884-0054
Practice Address - Street 1:231 SIERRA DR SE STE 10
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-5633
Practice Address - Country:US
Practice Address - Phone:505-600-2243
Practice Address - Fax:866-530-3317
Is Sole Proprietor?:No
Enumeration Date:2015-11-04
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMX-09339104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker