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NPI Code Detail

MEDICARE: GARRETT ROBERT HAMILTON CSW

MEDICARE: GARRETT ROBERT HAMILTON CSW
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1114855301
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARRETT ROBERT HAMILTON CSW
Provider Business Mailing Address
First Line : 955 W 3300 S
Second Line :
City : SOUTH SALT LAKE
State : UT
Zip : 84119-3325
Country : US
Telephone Number : 801-646-8147
Fax Number :
Provider Business Practice Location Address
First Line : 955 W 3300 S
Second Line :
City : SOUTH SALT LAKE
State : UT
Zip : 84119-3325
Country : US
Telephone Number : 801-646-8147
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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