Organization Active NPI

Donna M Hammontree, LCSW, LLC

  • Clinical Social Worker
  • Savannah, GA
National Provider Identifier
1073905071
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002734 Issued in GA
Legal business name
DONNA M HAMMONTREE, LCSW, LLC
Practice address
7002 Hodgson Memorial Dr Ste 103
Savannah, GA 31406-2586
Phone
(912) 655-6521
NPI assigned
Feb 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Mrs. Donna McNeely Hammontree, LCSWNPI 1245399062
Title
Owner
Phone
(912) 655-6521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 002734 GA Primary

Addresses

Primary practice location

7002 Hodgson Memorial Dr Ste 103
Savannah, GA 31406-2586

Mailing address

7002 Hodgson Memorial Dr Ste 103
Savannah, GA 31406-2586
Phone (912) 655-6521

Other identifiers 2

IdentifierTypeStateIssuer
00941256BMedicaidGA
00941256AMedicaidGA

Other names 1

  • Donna M Hammontree, LCSW, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240724003111 GA Part B Supplier - Clinic/Group Practice 5193261329 Receives reassigned benefits from 1 practitioner
Practice locations: Savannah, GA

National Provider Directory

National Provider Directory

Locations

7002 Hodgson Memorial Dr
Ste 103
Savannah, GA 31406
Phone (912) 234-2159

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1073905071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7002 HODGSON MEMORIAL DR STE 103",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062586",
            "telephone_number": "912-655-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7002 HODGSON MEMORIAL DR STE 103",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062586",
            "telephone_number": "912-655-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA M HAMMONTREE, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "HAMMONTREE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MCNEELY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-655-6521",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "002734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00941256B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00941256A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donna M Hammontree, LCSW, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.