Provider Demographics
NPI:1154694057
Name:HAMMOND, PAMALA K (LMSW)
Entity type:Individual
Prefix:MS
First Name:PAMALA
Middle Name:K
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 1/2 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50126-2106
Mailing Address - Country:US
Mailing Address - Phone:641-648-6491
Mailing Address - Fax:641-648-7138
Practice Address - Street 1:322 1/2 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:IOWA FALLS
Practice Address - State:IA
Practice Address - Zip Code:50126-2106
Practice Address - Country:US
Practice Address - Phone:641-648-6491
Practice Address - Fax:641-648-7138
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-23
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06803104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker