NPIMap

Gina M. Hamilton, MSW, LCSW

Individual provider Active NPI Clinical Social Worker · Supply, NC

NPI 1467294199 · NPPES record last updated Jun 12, 2024

Key facts

NPI
1467294199
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C017179 (NC)
Practice address
10 Doctors Cir Ste 6
Supply, NC 28462-4218
Phone
(910) 755-5222
NPI assigned
Jun 12, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C017179NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Southeastern United Care LLC Current
since Jun 16, 2024		 Accepting new patients

Locations

305 Commerce Ave
Ste 102
Morehead City, NC 28557
Phone (252) 288-9539

10 Doctors Cir
Ste 6
Supply, NC 28462
Phone (910) 754-4600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C017179 NC Yes

Addresses

Primary practice location

10 Doctors Cir Ste 6
Supply, NC 28462-4218

Mailing address

305 Commerce Ave Ste 102
Morehead City, NC 28557-2971
Phone (252) 773-0195

Other providers in Supply, NC

All providers in Supply, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.