Provider Demographics
NPI:1972753606
Name:GOLDHAMMER, CAMIE (MSW, LICSW, IBCLC)
Entity Type:Individual
Prefix:
First Name:CAMIE
Middle Name:
Last Name:GOLDHAMMER
Suffix:
Gender:F
Credentials:MSW, LICSW, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3545 S HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-1917
Mailing Address - Country:US
Mailing Address - Phone:206-854-7592
Mailing Address - Fax:
Practice Address - Street 1:3545 S HUDSON ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-1917
Practice Address - Country:US
Practice Address - Phone:206-854-7592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW603095901041C0700X
WAL-50012174N00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula