Healthcare Provider Details

I. General information

NPI: 1083907935
Provider Name (Legal Business Name): CARLA SUE HAMAND LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2011
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 E VETERANS MEMORIAL HWY STE 106
KASSON MN
55944-1716
US

IV. Provider business mailing address

11 E VETERANS MEMORIAL HWY STE 106
KASSON MN
55944-1716
US

V. Phone/Fax

Practice location:
  • Phone: 507-216-5151
  • Fax: 507-634-7120
Mailing address:
  • Phone: 507-216-5151
  • Fax: 507-634-7120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14211
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: