Provider Demographics
NPI:1720357502
Name:HAMER, TAMEKA (BSW, MSA)
Entity type:Individual
Prefix:MS
First Name:TAMEKA
Middle Name:
Last Name:HAMER
Suffix:
Gender:F
Credentials:BSW, MSA
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 825
Mailing Address - Street 2:SOLUTION SPECIFIC SERVICES/TAMEKA HAMER
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30081-0825
Mailing Address - Country:US
Mailing Address - Phone:815-670-8152
Mailing Address - Fax:
Practice Address - Street 1:108 COVE PL
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-5203
Practice Address - Country:US
Practice Address - Phone:815-670-8152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-22
Last Update Date:2012-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171W00000XOther Service ProvidersContractor
No174H00000XOther Service ProvidersHealth Educator