MEDICARE: ELIZABETH HAMM LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	081008	NY

General Provider Information

NPI Number	:	1033367727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH HAMM LCSW

Provider Business Mailing Address
First Line	:	105 MABEL RD
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13209-9618
Country	:	US
Telephone Number	:	315-632-5960
Fax Number	:

Provider Business Practice Location Address
First Line	:	5232 WITZ DR
Second Line	:
City	:	NORTH SYRACUSE
State	:	NY
Zip	:	13212-6501
Country	:	US
Telephone Number	:	315-632-5960
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2008
Last Update Date	:	01/30/2026

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