Provider Demographics
NPI:1962763102
Name:HAMMER, JOSHUA BRANDON (LCSW, ACHP-SW)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:BRANDON
Last Name:HAMMER
Suffix:
Gender:M
Credentials:LCSW, ACHP-SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11166 WILDFLOWER RD
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-3643
Mailing Address - Country:US
Mailing Address - Phone:818-531-5435
Mailing Address - Fax:
Practice Address - Street 1:23388 MULHOLLAND DR # 84
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2733
Practice Address - Country:US
Practice Address - Phone:818-876-1524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-05
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA748061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical