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NPI Code Detail

MEDICARE: MS. BRENDA D HAMILTON LCSW

MEDICARE: MS. BRENDA D HAMILTON 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
11041C0700XClinical Social WorkerLC5712ME

General Provider Information

NPI Number : 1134918220
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRENDA D HAMILTON LCSW
Provider Business Mailing Address
First Line : 126 DEPOT ST
Second Line :
City : WALDOBORO
State : ME
Zip : 04572-5913
Country : US
Telephone Number : 207-832-6394
Fax Number : 207-536-5162
Provider Business Practice Location Address
First Line : 126 DEPOT ST
Second Line :
City : WALDOBORO
State : ME
Zip : 04572-5913
Country : US
Telephone Number : 207-832-6394
Fax Number : 207-536-5162
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2025
Last Update Date : 03/05/2026

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