Healthcare Provider Details

I. General information

NPI: 1164287694
Provider Name (Legal Business Name): SYDNEY HAMILTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SYDNEY HULL LMSW

II. Dates (important events)

Enumeration Date: 02/14/2024
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 ALLENS CREEK RD
ROCHESTER NY
14618-3250
US

IV. Provider business mailing address

505 LATTA RD
ROCHESTER NY
14612-4150
US

V. Phone/Fax

Practice location:
  • Phone: 585-633-8566
  • Fax:
Mailing address:
  • Phone: 607-727-7908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number103442
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number118406
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: