Individual
JESSICA SIMPSON HAMLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
750 S CHURCH ST, SPARTANBURG, SC 29306-5348
(864) 582-2829
(864) 582-7178
Mailing address
PO BOX 5158, SPARTANBURG, SC 29304-5158
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10213
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q584597652
MEDICARE PIN
SC
05
—
SW1435
—
SC
Enumeration date
08/18/2016
Last updated
07/23/2019
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