Julie Hammack, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-31071 Issued in ID

Practice address

760 E Warm Springs Ave Ste D
Boise, ID 83712-6459

Phone

(208) 793-5631

Fax

(208) 225-4995

NPI assigned

Nov 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Julie Eggebraaten Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660348800000",
    "number": "1942454293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 E WARM SPRINGS AVE STE D",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126459",
            "telephone_number": "208-793-5631",
            "fax_number": "208-225-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 E WARM SPRINGS AVE STE D",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126459",
            "telephone_number": "208-793-5631",
            "fax_number": "208-225-4995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8601 W Emerald St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837048209",
            "country_code": "US",
            "telephone_number": "208-600-2184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMACK",
        "first_name": "JULIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-31071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "EGGEBRAATEN",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Hamilton, PHARMD
• Samantha W. Hamilton, PT
• Christian A. Hamlat, M.D.
• Emily Hamlin, OTR/L
• Nathan M Hamlin, M. COUN., LPC
• Linda Hammann, MS, PT, SCS, ATC
• Jacob Hammer
• James Hammer, DPT
• Christopher W Hammerle, MD
• Andrew Jay Hammerquist

• Clinical Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.