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General NPI Number Information
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NPI Number | 1649525577
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Entity Type | Individual
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Provider Name | MICHELLE RENEE HAMMEL LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 06/15/2021
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Provider Practice Location Address
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Address Line | 871 LOWCOUNTRY BLVD STE 200
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City | MT PLEASANT
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State | SC
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Zip | 29464-3096
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Country | US
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Telephone | 425-708-8829
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Fax |
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Provider Business Mailing Address
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Address Line | 871 LOWCOUNTRY BLVD STE 200
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City | MT PLEASANT
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State | SC
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Zip | 29464-3096
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Country | US
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Telephone | 425-708-8829
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LSW-129461
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW018336
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 13408
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License Number State | SC
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