Active NPI
Bradley K Hamm, LCSW
- Clinical Social Worker
- Snyder, NY
National Provider Identifier
1073950796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 086438
- Practice address
- 3960 Harlem Rd Ste 10
Snyder, NY 14226-4706 - Phone
- (716) 421-6945
- NPI assigned
- Jun 4, 2013
- Last updated
- Aug 1, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 092754-1 | NY | MD | Social Worker |
| 086438-01 | NY | MD | Clinical 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.