Individual provider Active NPI

Bradley K Hamm, LCSW

  • Clinical Social Worker
  • Snyder, NY
National Provider Identifier
1073950796
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086438 Issued in NY
Practice address
3960 Harlem Rd Ste 10
Snyder, NY 14226-4706
Phone
(716) 421-6945
NPI assigned
Jun 4, 2013
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 092754-1 NY
Clinical Social Worker 1041C0700X 086438-01 NY
Clinical Social Worker 1041C0700X 086438 NY Primary

Addresses

Primary practice location

3960 Harlem Rd Ste 10
Snyder, NY 14226-4706

Mailing address

3960 Harlem Rd Ste 10
Snyder, NY 14226-4706
Phone (716) 421-6945

Other practice location 1

768 Delaware Ave
Buffalo, NY 14209-2006
Phone (716) 842-0440 ext. 1234

Other practice location 2

3176 Abbott Road
Building A Suite 500
Buffalo, NY 14202
Phone (716) 822-2117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092754-1NYMDSocial Worker
086438-01NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1073950796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 HARLEM RD STE 10",
            "city": "SNYDER",
            "state": "NY",
            "postal_code": "142264706",
            "telephone_number": "716-421-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 HARLEM RD STE 10",
            "city": "SNYDER",
            "state": "NY",
            "postal_code": "142264706",
            "telephone_number": "716-421-6945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "768 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142092006",
            "country_code": "US",
            "telephone_number": "716-842-0440 x1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3176 Abbott Road",
            "address_2": "Building A Suite 500",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "14202",
            "country_code": "US",
            "telephone_number": "716-822-2117",
            "fax_number": "716-822-8165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMM",
        "first_name": "BRADLEY",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092754-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086438-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snyder, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.