Provider Demographics
NPI:1194449785
Name:HAMILTON, LESLIE (SWAIC, MSW, MPA)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:SWAIC, MSW, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 357920
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-7920
Mailing Address - Country:US
Mailing Address - Phone:206-598-4317
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 357920
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-1311
Practice Address - Country:US
Practice Address - Phone:206-598-4317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 390200000X
WASC615694111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program