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NPI Code Detail

MEDICARE: MS. LUCILLE MARY HAMILTON LCSW

MEDICARE: MS. LUCILLE MARY 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
11041C0700XClinical Social WorkerLCS15874CA

General Provider Information

NPI Number : 1992806426
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LUCILLE MARY HAMILTON LCSW
Provider Business Mailing Address
First Line : 3050 FITE CIR # 101Y
Second Line :
City : SACRAMENTO
State : CA
Zip : 95827-1806
Country : US
Telephone Number : 530-748-6841
Fax Number :
Provider Business Practice Location Address
First Line : 510 PLAZA DR STE 170
Second Line :
City : FOLSOM
State : CA
Zip : 95630-4790
Country : US
Telephone Number : 916-351-9400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 04/03/2026

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