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NPI Code Detail

MEDICARE: HAYLEY ANN HAMILTON LICSW

MEDICARE: HAYLEY ANN HAMILTON LICSW
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 Worker089-0001273VT
2251S00000XCommunity/Behavioral Health Agency089-0001273VT

General Provider Information

NPI Number : 1760598635
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAYLEY ANN HAMILTON LICSW
Provider Business Mailing Address
First Line : 93 BEECH TREE LN
Second Line :
City : WAITSFIELD
State : VT
Zip : 05673-7029
Country : US
Telephone Number : 802-224-6096
Fax Number : 802-496-7095
Provider Business Practice Location Address
First Line : 65 NORTHGATE PLAZA
Second Line : SUITE 11
City : MORRISVILLE
State : VT
Zip : 05661-5900
Country : US
Telephone Number : 802-888-8320
Fax Number : 802-888-8136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 06/04/2012

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1992882971 — BRENDA CHRISTIE MSW. LISCW
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1164663035 — MARGOT C PRENDERGAST LICSW
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1710211016 — MEGHAN A. ALBRECHT LICSW
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1578890430 — MS. LINDA WINCHELL LYBARGER LADC
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Practice Fax: 802-888-8136

Directions to “ HAYLEY ANN HAMILTON LICSW” Practice Location

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