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NPI Code Detail

MEDICARE: SARA ELAINE HAMILTON MSW, LSW, CDCA

MEDICARE: SARA ELAINE HAMILTON MSW, LSW, CDCA
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
1104100000XSocial WorkerS.2308921OH
21041C0700XClinical Social WorkerI.2507543OH
3101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.180499OH
4171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1467943316
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA ELAINE HAMILTON MSW, LSW, CDCA
Provider Business Mailing Address
First Line : 3095 KETTERING BLVD
Second Line :
City : MORAINE
State : OH
Zip : 45439-1983
Country : US
Telephone Number : 937-789-8467
Fax Number :
Provider Business Practice Location Address
First Line : 474 N YELLOW SPRINGS ST
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45504-2463
Country : US
Telephone Number : 937-399-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2018
Last Update Date : 12/10/2025

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