Active NPI
Michelle Renee Hammel, LCSW
- Clinical Social Worker
- Mt Pleasant, SC
National Provider Identifier
1649525577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13408
- Practice address
- 871 Lowcountry Blvd Ste 200
Mt Pleasant, SC 29464-3096 - Phone
- (425) 708-8829
- NPI assigned
- Jul 17, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW-129461 | PA | |
| Clinical Social Worker | 1041C0700X | CW018336 | PA | |
| Clinical Social Worker | 1041C0700X | 13408 | SC | Primary |
Addresses
Primary practice location
871 Lowcountry Blvd Ste 200
Mt Pleasant, SC 29464-3096
Mailing address
871 Lowcountry Blvd Ste 200
Mt Pleasant, SC 29464-3096
Phone (425) 708-8829
Other practice location 1
620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 942-5000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW-129461 | PA | MD | Social Worker |
| CW018336 | PA | MD | Clinical Social Worker |
| 13408 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myrtle Beach Counseling Center | Current | Accepting new patients |
Locations
871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137
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.
-
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- Myrtle Beach, SC
- NPI 1235784661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1649525577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 LOWCOUNTRY BLVD STE 200",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643096",
"telephone_number": "425-708-8829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 LOWCOUNTRY BLVD STE 200",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643096",
"telephone_number": "425-708-8829"
}
],
"practiceLocations": [
{
"address_1": "620 Howard Ave",
"address_purpose": "LOCATION",
"city": "Altoona",
"state": "PA",
"postal_code": "166014804",
"country_code": "US",
"telephone_number": "814-942-5000",
"fax_number": "814-942-9500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMMEL",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-17",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "LSW-129461",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW018336",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "13408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.