Provider Demographics
NPI:1881352649
Name:HAMILTON, BRITTANY CHARMAINE (LMSW)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:CHARMAINE
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 1:2501 RIVER OAKS BLVD APT 2L
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39211-3629
Mailing Address - Country:US
Mailing Address - Phone:662-694-0217
Mailing Address - Fax:
Practice Address - Street 1:2501 RIVER OAKS BLVD APT 2L
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39211-3629
Practice Address - Country:US
Practice Address - Phone:662-694-0217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSM9071104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker