Provider Demographics
NPI:1790518736
Name:HAMMERSCHLAG, DAVID (LMSW)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:HAMMERSCHLAG
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 DECATUR ST APT 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-1501
Mailing Address - Country:US
Mailing Address - Phone:201-870-9861
Mailing Address - Fax:
Practice Address - Street 1:1325 AVENUE OF THE AMERICAS FL 28
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-6583
Practice Address - Country:US
Practice Address - Phone:917-691-8490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY118183104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker