PJ Hamill, LCSW
Individual provider Active NPI Clinical Social Worker · Lowell, AR
NPI 1699048876 · NPPES record last updated Dec 11, 2013
Key facts
- NPI
- 1699048876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 4179-C (AR)
- Practice address
- 322D N Bloomington St
Lowell, AR 72745-9136 - Phone
- (479) 202-5211
- NPI assigned
- Feb 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4179-C | AR | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4179-C | AR | Yes |
Addresses
Primary practice location
322D N Bloomington St
Lowell, AR 72745-9136
Mailing address
322D N Bloomington St
Lowell, AR 72745-9136
Phone (479) 202-5211
Other providers in Lowell, AR
- Annelise Zaring Gonzalez
- Bradley G Goodson
- Lori Suzanne Gott
- Phebe Grothaus
- Cathy Hale
- Christopher David Hancock
- Amanda Hankins
- Sarah K Hanson
- Casey Harpole
- Harps Food Stores, Inc.
All providers in Lowell, AR · Clinical Social Worker in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2013. 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.