Individual provider Active NPI

Hannah Maria Hammudeh, LCSW

  • Clinical Social Worker
  • Nampa, ID
National Provider Identifier
1679143176
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8861617 Issued in ID
Practice address
3307 Caldwell Blvd Ste 104
Nampa, ID 83651-6403
Phone
(208) 465-4833
NPI assigned
Jun 28, 2021
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8861617 ID Primary

Addresses

Primary practice location

3307 Caldwell Blvd Ste 104
Nampa, ID 83651-6403

Mailing address

3307 Caldwell Blvd Ste 104
Nampa, ID 83651-6403
Phone (208) 465-4833

Other names 1

  • Hannah Maria Hammudeh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723003701 ID Practitioner - Clinical Social Worker 8628584828 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Access Behavioral Health Services CurrentSince Jul 7, 2025 Accepting new patients
Access Behavioral Health Services, Inc CurrentSince Jul 7, 2025 Accepting new patients

Locations

1276 W River St
Ste 100
Boise, ID 83702
Phone (208) 338-4699

3307 Caldwell Blvd
Ste 104
Nampa, ID 83651
Phone (208) 465-4833

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1679143176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 CALDWELL BLVD STE 104",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836516403",
            "telephone_number": "208-465-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 CALDWELL BLVD STE 104",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836516403",
            "telephone_number": "208-465-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMUDEH",
        "first_name": "HANNAH",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8861617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "HAMMUDEH",
            "middle_name": "MARIA",
            "credential": "PEROTTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.