Joseph Hammond
Individual provider Active NPI Social Worker · Maywood, NJ
NPI 1295519973 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1295519973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 44SL06779500 (NJ)
- Practice address
- 240 W Passaic St Ste 10
Maywood, NJ 07607-1264 - Phone
- (516) 243-3244
- NPI assigned
- Aug 23, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06779500 | NJ | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06779500 | NJ | Yes |
Addresses
Primary practice location
240 W Passaic St Ste 10
Maywood, NJ 07607-1264
Mailing address
61 Hoehn St Unit a
Lodi, NJ 07644-3511
Phone (516) 243-3244
Other providers in Maywood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.