Active NPI
Priscilla Hammon, LMSW
- Social Worker
- Glen Carbon, IL
National Provider Identifier
1336602176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.102808
- Practice address
- 88 S Main St
Glen Carbon, IL 62034-1415 - Phone
- (618) 288-8085
- NPI assigned
- Apr 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.102808 | IL | Primary |
Addresses
Primary practice location
88 S Main St
Glen Carbon, IL 62034-1415
Mailing address
613 Grandview Dr
Edwardsville, IL 62025-2013
Phone (618) 978-5642
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.102808 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1336602176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 GRANDVIEW DR",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620252013",
"telephone_number": "618-978-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 S MAIN ST",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620341415",
"telephone_number": "618-288-8085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMON",
"first_name": "PRISCILLA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-09",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.102808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Carbon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.