Provider Demographics
NPI:1508181611
Name:HAMER, ANDREA MARIA (MSW, P-LCSW)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:MARIA
Last Name:HAMER
Suffix:
Gender:F
Credentials:MSW, P-LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 LAMON ST STE 212
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-4957
Mailing Address - Country:US
Mailing Address - Phone:910-429-2222
Mailing Address - Fax:910-429-2222
Practice Address - Street 1:111 LAMON ST
Practice Address - Street 2:SUITE 212
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-4901
Practice Address - Country:US
Practice Address - Phone:910-429-2222
Practice Address - Fax:910-429-2222
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP004917104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker