MEDICARE: MEGAN HAMM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	092798	NY
2	1041C0700X	Clinical Social Worker	088653	NY

General Provider Information

NPI Number	:	1578935888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN HAMM

Provider Business Mailing Address
First Line	:	6225 SHERIDAN DR STE 222
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14221-4800
Country	:	US
Telephone Number	:	716-249-4063
Fax Number	:

Provider Business Practice Location Address
First Line	:	6225 SHERIDAN DR STE 222
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14221-4800
Country	:	US
Telephone Number	:	716-249-4063
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2015
Last Update Date	:	10/27/2022

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Directions to “ MEGAN HAMM ” Practice Location

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