Jeffrey L Hamm, MSW – Social Worker in Madison, WI

Key facts

NPI: 1669255253
Entity type: Individual (NPI type 1)
Primary specialty: Social Worker 104100000X
License: 131934-121 (WI)
Practice address: 660 W Washington Ave Ste 310
Madison, WI 53703-4703
Phone: (608) 335-4002
NPI assigned: Aug 16, 2023
Sex: Male
Sole proprietor: Yes

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
131934-121	WI	MD	Social Worker

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Social Worker	104100000X	131934-121	WI	Yes

Addresses

Primary practice location

660 W Washington Ave Ste 310
Madison, WI 53703-4703

Mailing address

1317 Jenifer St
Madison, WI 53703-3716
Phone (608) 335-4002

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 16, 2023.

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1669255253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 JENIFER ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033716",
            "telephone_number": "608-335-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 W WASHINGTON AVE STE 310",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034703",
            "telephone_number": "608-335-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMM",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "131934-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

All providers in Madison, WI · Social Worker in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.