Jennifer Bailey Adamson-Hamilton, ACSW #109885
Individual provider Active NPI Clinical Social Worker · Fort Bragg, CA
NPI 1568134591 · NPPES record last updated Jun 15, 2023
Key facts
- NPI
- 1568134591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 109885 (CA)
- Practice address
- 544 S Main St
Fort Bragg, CA 95437-5107 - Phone
- (707) 467-2010
- NPI assigned
- Sep 28, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 109885 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redwood Community Services, Inc | Past |
Accepting new patients | |
| Redwood Community Services, Inc. | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 109885 | CA | Yes |
Addresses
Primary practice location
544 S Main St
Fort Bragg, CA 95437-5107
Mailing address
PO Box 2077
Ukiah, CA 95482-2077
Phone (707) 467-2010
Other names
- Jennifer B Hamilton
Other providers in Fort Bragg, CA
- Ted Michael Aames
- Keevan Abramson
- Sherry Ellen Ackeson-Madden
- Adventist Health Mendocino Coast
- Adventist Health Mendocino Coast
- Adventist Health Mendocino Coast
- Adventist Health Physicians Network
- Adventist Health Physicians Network
All providers in Fort Bragg, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 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.