MEDICARE: MR. JUSTIN E HAMPTON 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	1041C0700X	Clinical Social Worker	I.2507158	OH
2	1041C0700X	Clinical Social Worker	149025896	IL
3	1041C0700X	Clinical Social Worker	SWB-2023-0951	NM
4	1041C0700X	Clinical Social Worker	2013027896	MO

General Provider Information

NPI Number	:	1184001380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JUSTIN E HAMPTON LCSW

Provider Business Mailing Address
First Line	:	900 W TEMPLE AVE STE 208
Second Line	:
City	:	EFFINGHAM
State	:	IL
Zip	:	62401-2187
Country	:	US
Telephone Number	:	217-342-0211
Fax Number	:	217-342-0232

Provider Business Practice Location Address
First Line	:	900 W TEMPLE AVE STE 208
Second Line	:
City	:	EFFINGHAM
State	:	IL
Zip	:	62401-2187
Country	:	US
Telephone Number	:	217-342-0211
Fax Number	:	217-342-0232

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

Provider Enumeration Date	:	04/27/2015
Last Update Date	:	02/03/2026

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Directions to “ MR. JUSTIN E HAMPTON LCSW” Practice Location

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