Provider Demographics
NPI:1396308037
Name:HAMAN, NANCY ANN (LCSW)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ANN
Last Name:HAMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:ANN
Other - Last Name:DIFRANCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:172 RADIO AVE
Mailing Address - Street 2:
Mailing Address - City:MILLER PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11764-3412
Mailing Address - Country:US
Mailing Address - Phone:631-821-5497
Mailing Address - Fax:
Practice Address - Street 1:172 RADIO AVE
Practice Address - Street 2:
Practice Address - City:MILLER PLACE
Practice Address - State:NY
Practice Address - Zip Code:11764-3412
Practice Address - Country:US
Practice Address - Phone:631-821-5497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-18
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086259-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical