MEDICARE: REGINALD HAMMOND

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	101YM0800X	Mental Health Counselor	LCSW71809	CA
2	1041C0700X	Clinical Social Worker	LCSW71809	CA

General Provider Information

NPI Number	:	1356474787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REGINALD HAMMOND

Provider Business Mailing Address
First Line	:	150 VALLEY ST UNIT 2037
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-4509
Country	:	US
Telephone Number	:	818-281-7917
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 VALLEY ST UNIT 2037
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-4509
Country	:	US
Telephone Number	:	818-281-7917
Fax Number	:

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

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	08/26/2025

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Directions to “ REGINALD HAMMOND ” Practice Location

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