Shavone Hamilton, LCSW

Individual provider Active NPI Clinical Social Worker · College Point, NY

NPI 1447335237 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1447335237
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
069910 (NY)
Practice address
2244 119TH St
College Point, NY 11356-2516
Phone
(718) 445-4700
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Newyork-Presbyterian-Queens Past Accepting new patients
AIDS Center of Queens County, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 069910 NY Yes

Addresses

Primary practice location

2244 119TH St
College Point, NY 11356-2516

Mailing address

6434 102ND St
Suite 5O
Rego Park, NY 11374-3650
Phone (718) 275-4604

Other providers in College Point, NY

All providers in College Point, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.