Healthcare Provider Details

I. General information

NPI: 1750594701
Provider Name (Legal Business Name): BARBARA HOPE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 02/08/2023
Certification Date: 02/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7359 SIDEWINDER DR NE
ALBUQUERQUE NM
87113-1300
US

IV. Provider business mailing address

PO BOX 381
RANCHO DE TAOS NM
87557-0381
US

V. Phone/Fax

Practice location:
  • Phone: 505-270-3966
  • Fax:
Mailing address:
  • Phone: 575-224-1132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC-07913
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: