MEDICARE: ELIZABETH BETTI 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
1	1041C0700X	Clinical Social Worker	1718-C	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659334712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH BETTI HAMILTON LCSW

Provider Business Mailing Address
First Line	:	1708 LOUISIANA ST
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72206-1432
Country	:	US
Telephone Number	:	501-690-6738
Fax Number	:	501-372-3339

Provider Business Practice Location Address
First Line	:	1708 LOUISIANA ST
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72206-1432
Country	:	US
Telephone Number	:	501-690-6738
Fax Number	:	501-372-3339

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

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	03/25/2013

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