# PHYLLIS T HAMMOND

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1639354418
- **Gender:** F
- **Credential:** MSSW, LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | C1607 | MS | Yes |

## Other

- **Enumeration date:** 12/30/2007
- **Last updated:** 09/29/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000456093 | OPTUM (UHC) | MS |
| 05 | — | 02632342 | — | MS |
| 01 | — | 1639354418 | CENPATICO | MS |