Doctor Name: | KATHRYN HAMMA CLAVIN |
NPI Number: | 1114331410 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 085650 |
Business Practice Address: | 212 W Main St Riverhead, NY - 119012841 |
Business Phone Number: | 6313697800 |
Business Fax Number: | 6315748216 |
Mailing Address: | 3 Greenway Apt 8, MANORVILLE |
State: | NY |
Postal Code: | 119493405 |
Phone Number: | 6319059998 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2014 |
NPI Last Update Date: | 06/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 085650 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |