Provider Demographics
NPI:1457053472
Name:HAMILTON, ASHA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:ASHA
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11037 SWANSFIELD RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-2725
Mailing Address - Country:US
Mailing Address - Phone:410-905-9397
Mailing Address - Fax:
Practice Address - Street 1:11037 SWANSFIELD RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2725
Practice Address - Country:US
Practice Address - Phone:410-905-9397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG50083780104100000X
MD26776104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker