Individual provider Active NPI

Lorelei J Hammond, LCSW

  • Clinical Social Worker
  • Ukiah, CA
National Provider Identifier
1053477356
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW14769 Issued in CA
Practice address
406 W Standley St
Ukiah, CA 95482-4348
Phone
(707) 462-4154
Fax
(707) 468-5618
NPI assigned
Dec 29, 2006
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW14769 CA Primary

Addresses

Primary practice location

406 W Standley St
Ukiah, CA 95482-4348

Mailing address

PO Box 83
Point Arena, CA 95468-0083
Phone (707) 462-4154

Other practice location 1

255 N. Main
Point Arena, CA 95468
Phone (707) 462-4154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111221000416 CA Practitioner - Clinical Social Worker 5193991172 Practice locations: Point Arena, CA; Ukiah, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

255 N Main St
Point Arena, CA 95468
Phone (707) 882-3227

PO Box
Suite 83
Point Arena, CA 95468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW14769CAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1053477356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "POINT ARENA",
            "state": "CA",
            "postal_code": "954680083",
            "telephone_number": "707-462-4154",
            "fax_number": "707-468-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W STANDLEY ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824348",
            "telephone_number": "707-462-4154",
            "fax_number": "707-468-5618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 N. Main",
            "address_purpose": "LOCATION",
            "city": "Point Arena",
            "state": "CA",
            "postal_code": "95468",
            "country_code": "US",
            "telephone_number": "707-462-4154",
            "fax_number": "707-468-5618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "LORELEI",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2021-03-18",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW14769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.