1003140534 NPI number — SHEILA LOUISE HAMMER M.S.W., A.S.W.

Table of content: SHEILA LOUISE HAMMER M.S.W., A.S.W. (NPI 1003140534)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003140534 NPI number — SHEILA LOUISE HAMMER M.S.W., A.S.W.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAMMER
Provider First Name:
SHEILA
Provider Middle Name:
LOUISE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.S.W., A.S.W.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HALLSTROM
Provider Other First Name:
SHEILA
Provider Other Middle Name:
LOUISE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1003140534
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/30/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 921485
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SYLMAR
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91392-1485
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
559-362-2989
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
318 W CHEVY CHASE DR
Provider Second Line Business Practice Location Address:
205
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91204-2254
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-362-2989
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/30/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  26298 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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