Provider Demographics
NPI:1700060035
Name:HAMMONDS, KEYOWANNA A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KEYOWANNA
Middle Name:A
Last Name:HAMMONDS
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 1:1128 LORING AVE
Mailing Address - Street 2:#2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-5019
Mailing Address - Country:US
Mailing Address - Phone:212-444-8182
Mailing Address - Fax:
Practice Address - Street 1:502 BERGEN ST
Practice Address - Street 2:BRIDGING ACCESS TO CARE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-2407
Practice Address - Country:US
Practice Address - Phone:347-505-5191
Practice Address - Fax:718-622-2965
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-21
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0805741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical