Healthcare Provider Details

I. General information

NPI: 1053825265
Provider Name (Legal Business Name): VERNA HAMNER LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2611 HOMESTEAD AVE
YOUNGSTOWN OH
44502-2317
US

IV. Provider business mailing address

320 HIGH ST NE
WARREN OH
44481-1222
US

V. Phone/Fax

Practice location:
  • Phone: 330-782-5664
  • Fax:
Mailing address:
  • Phone: 330-393-0598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS0027427
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: