| Doctor Name: | MS. JENNIFER ANN HAMPSTEN |
| NPI Number: | 1053752725 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MAED, MSW, LCSW |
| License Number: | 2011008043 |
| Business Practice Address: | 519 W Washington St Millstadt, IL - 622601163 |
| Business Phone Number: | 6185303791 |
| Business Fax Number: | |
| Mailing Address: | 519 W Washington St, MILLSTADT |
| State: | IL |
| Postal Code: | 622601163 |
| Phone Number: | 6185303791 |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2013 |
| NPI Last Update Date: | 07/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2011008043 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |