Healthcare Provider Details

I. General information

NPI: 1497520605
Provider Name (Legal Business Name): THOMAS FREDERICK HAMEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2023
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

197 QUINCY AVE
BRAINTREE MA
02184-2341
US

IV. Provider business mailing address

197 QUINCY AVE
BRAINTREE MA
02184-2341
US

V. Phone/Fax

Practice location:
  • Phone: 857-275-3267
  • Fax:
Mailing address:
  • Phone: 857-275-3267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW2143411
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: