HOLLY HAMMACK LCSW
NPI 1295939338
Social Worker - Clinical in Fontana, CA

Active since June 13, 2007PECOS Enrolled
9961 SIERRA AVE, FONTANA, CA 92335(909) 427-3910 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holly Hammack Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY HAMMACK LCSW (NPI 1295939338) is an individual clinical provider in Fontana, California, licensed in California (LCS10042) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1295939338
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHOLLY HAMMACKCredential: LCSW
Location Address9961 SIERRA AVEFontana, CA 92335-6720
Mailing Address9961 Sierra AveFontana, CA 92335-6720 · (909) 427-3910
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateJune 13, 2007
Last NPPES UpdateSeptember 15, 2008
NPI 1295939338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCS10042
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
9961 SIERRA AVE, Fontana, CA 92335

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Holly Hammack Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719168970
PECOS Enrollment IDI20110221000707
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.60 – $179.42
Typical copayment $0.00 (range $14.90 – $44.85)
Most-billed visit code NA
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
9961 SIERRA AVE, BUILDING 3A
FONTANA, CA 92335
Pediatrics
9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA, CA 92335
Pharmacist
9961 SIERRA AVE
FONTANA, CA 92335
Dietitian, Registered
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Anesthetist, Certified Registered
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335
Family Medicine
9961 SIERRA AVE
FONTANA, CA 92335

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Hammack's NPI number?

The NPI number for Holly Hammack is 1295939338. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Holly Hammack located?

Holly Hammack practices at 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 427-3910.

What is Holly Hammack's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Holly Hammack enrolled in Medicare?

Yes. Holly Hammack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Holly Hammack was last updated on September 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.