MR. STEPHAN K. HANCOCK (NPI# 1023569472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023569472 |
| Entity Type | Individual |
| Full Name | MR. STEPHAN K. HANCOCK |
| Practice Address |
72 Gail Harris St Roswell NM 88203-8116 |
| Mailing Address |
Po Box 5664 Roswell NM 88202-5664 |
| Practice Telephone | 5753473400 |
| Mailing Telephone | 5755907883 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2017-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0159701 | NM | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
M-08766 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 28858735 | 05 |
| Street Address |
72 GAIL HARRIS ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88203-8116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952659435 | Fatima Granados | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2012-08-15 |
| 1023618436 | Jose Cruz Zavala | Social Worker | 72 Gail Harris St, Roswell, NM 88203-8116 | 2020-10-27 |
| 1235761024 | Seth Gordon | Physical Therapist | 72 Gail Harris St, Roswell, NM 88203-8116 | 2020-02-10 |
| 1730728809 | Alexandra Beck | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2020-01-06 |
| 1861033409 | Angel R Gordo | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2019-10-04 |
| 1639654502 | Monica Marie Saavedra | Social Worker | 72 Gail Harris St, Roswell, NM 88203-8116 | 2018-09-26 |
| 1245713288 | Marianne Noel Moser | Physical Therapist | 72 Gail Harris St, Roswell, NM 88203-8116 | 2018-09-14 |
| 1578075016 | State of New Mexico | Special Hospital | 72 Gail Harris St, Roswell, NM 88203-8116 | 2017-10-24 |
| 1134667496 | Alexandra Hancock | Social Worker | 72 Gail Harris St, Roswell, NM 88203-8116 | 2017-02-07 |
| 1417302563 | Sandra Berenice Mendoza | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2016-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115586 | Katherine Bolin | Behavior Technician | 333 West Brasher Rd. #200, Roswell, NM 88203 | 2020-02-10 |
| 1437660040 | Pecos Valley Eye Surgery Center, LLC | Clinic/Center | 1610 Se Main Street, Roswell, NM 88203 | 2017-10-23 |
| 1285031286 | Wheelchair and Walker Rentals, Inc. | Durable Medical Equipment & Medical Supplies | 305 W Mcgaffey St, Roswell, NM 88203 | 2014-11-20 |
| 1447585914 | Whole World Health Care, PC | Pediatrics | 109 W. Bland, Roswell, NM 88203 | 2009-10-16 |
| 1780825372 | Complete Rehab Adult Services | Clinic/Center | 109 W Bland, Roswell, NM 88203 | 2009-03-12 |
| 1710127220 | Roswell Medical Care | Health Maintenance Organization | 111 W Hobbs, Roswell, NM 88203 | 2009-02-23 |
| 1336330513 | Savitri Aguiar | Internal Medicine | 1511 South Grand, Roswell, NM 88203 | 2007-08-05 |
| 1750455523 | Francisco Casio Bicol Jr. | Occupational Therapist | 200 W 1st St Ste 527, Roswell, NM 88203 | 2006-11-20 |
| 1699861542 | Susan Lee Voigt | Counselor | 200 W 1st, Ste 532, Roswell, NM 88203 | 2006-10-05 |
| 1245336940 | Founders Healthcare LLC | Durable Medical Equipment & Medical Supplies | 104 N Missouri Ave, Roswell, NM 88203 | 2006-09-16 |
| Find all providers in zip 88203 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456140 | Jarbriel Bryant | Social Worker | 5113 Calibre Creek Pkwy, Roswell, GA 30076-4563 | 2020-08-06 |
| 1558872200 | Beda Roberts | Social Worker | 800 Old Roswell Lakes Pkwy Ste 200, Roswell, GA 30076-1667 | 2017-10-21 |
| 1275058711 | Jessica Perez | Social Worker | 10929 Crabapple Rd Ste 203c, Roswell, GA 30075-7657 | 2017-08-05 |
| 1508389669 | Diane Sitkowski | Social Worker | 814 Mimosa Blvd Bldg C, Roswell, GA 30075-4410 | 2017-07-20 |
| 1801342332 | Kim Phillips | Social Worker | 2005 Churchill Ln, Roswell, GA 30075-5613 | 2016-08-25 |
| 1720531767 | Arbor Cove Therapy LLC | Social Worker | 981 Canton St, Suite 200-e, Roswell, GA 30075 | 2016-07-26 |
| 1629439393 | Maribeth Nolan | Social Worker | 355 Meadowood Dr, Roswell, GA 30075-4504 | 2016-03-09 |
| 1205297090 | Cathleen Hulbert | Social Worker | 4085 Crabapple Lake Ct, Roswell, GA 30076-4253 | 2016-03-08 |
| 1760803316 | Jessica Zielske | Social Worker | 300 Colonial Center Parkway, Ste 100n, Roswell, GA 30076 | 2013-12-30 |
| 1831528967 | Marissa Ezell | Social Worker | 11285 Elkins Rd Unit K1, Roswell, GA 30076-1259 | 2013-11-08 |
| Find all providers in ROSWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.