Provider Demographics
NPI:1104691336
Name:HAMANN, TAMMY L (LCSWA)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:L
Last Name:HAMANN
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 WILDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-7672
Mailing Address - Country:US
Mailing Address - Phone:231-580-1199
Mailing Address - Fax:
Practice Address - Street 1:350 SHAW AVE
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-6237
Practice Address - Country:US
Practice Address - Phone:910-580-8280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-17
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0179671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical