Healthcare Provider Details

I. General information

NPI: 1962909028
Provider Name (Legal Business Name): BARBARA HOPE, LCSW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2018
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
TAOS NM
87571-0381
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 TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW8558
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: BARBARA HOPE
Title or Position: OWNER
Credential: LCSW
Phone: 575-224-1132