Individual provider Active NPI

Robert A. Hamilton III, LCSW

  • Clinical Social Worker
  • Jamaica, NY
National Provider Identifier
1326405580
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086777 Issued in NY
Practice address
16121 Jamaica Ave FL 7
Jamaica, NY 11432-6113
Phone
(718) 896-2500
Fax
(718) 459-6542
NPI assigned
Jan 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 090621 NY
Clinical Social Worker 1041C0700X 086777 NY Primary

Addresses

Primary practice location

16121 Jamaica Ave FL 7
Jamaica, NY 11432-6113

Mailing address

16121 Jamaica Ave FL 7
Jamaica, NY 11432-6113
Phone (187) 896-2500

Other names 1

  • Bobby Hamilton Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180507000097 NY Practitioner - Clinical Social Worker 8426312166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
AIDS Center of Queens County IncGroup PAC ID 4183659790, 3 clinicians

Practice addresses (Care Compare)

16121 Jamaica Ave
7TH
Jamaica, NY 11432-6113
Phone (718) 896-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086777NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Center of Queens County, Inc. CurrentSince Apr 18, 2018 Accepting new patients

Locations

16121 Jamaica Ave
Fl 7
Jamaica, NY 11432
Phone (718) 896-2500

16121 Jamaica Ave
Jamaica, NY 11432
Phone (718) 896-2500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1326405580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16121 JAMAICA AVE FL 7",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326113",
            "telephone_number": "187-896-2500",
            "fax_number": "718-459-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16121 JAMAICA AVE FL 7",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326113",
            "telephone_number": "718-896-2500",
            "fax_number": "718-459-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-19",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "090621",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBY",
            "last_name": "HAMILTON",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.