Alyssa Hamilton, LSW, LCAC-A

Primary specialty

Social WorkerTaxonomy code 104100000X

License

33011020A Issued in IN

Practice address

4109 W Jefferson Blvd
Ste a
Fort Wayne, IN 46804-6894

Phone

(260) 486-5251

Fax

(260) 486-5058

NPI assigned

Jun 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Consulting & Counseling Associates, LLC

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1962432971
  NPD

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1780377804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 W JEFFERSON BLVD",
            "address_2": "STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046894",
            "telephone_number": "260-486-5251",
            "fax_number": "260-486-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 W JEFFERSON BLVD",
            "address_2": "STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046894",
            "telephone_number": "260-486-5251",
            "fax_number": "260-486-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "ALYSSA",
        "name_prefix": "Ms.",
        "credential": "LSW, LCAC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2024-05-13",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "99118159A",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33011020A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Hallman, FNP
• Claire Halluska, LCSW
• Gary A. Hambel, M.D.
• Sahar Hameed
• Ehlimana Hamidovic
• Craig Hamilton
• Danna Claire Hamilton, MA, LMHC
• Erik J. Hamilton, PTA
• Haley Hamilton
• Riley J Hamilton

• Social Worker in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.