SUSAN HACK (NPI# 1619529187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619529187 |
| Entity Type | Individual |
| Full Name | SUSAN HACK |
| Credential | LMSW |
| Practice Address |
1001 W Broadway Farmington NM 87401-5638 |
| Practice Telephone | 8047314090 |
| Mailing Telephone | 8047314090 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
1001 W BROADWAY |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952309833 | Thomas F Marren | Family Medicine | 1001 W Broadway, Pms -farmington Community Health Center, Farmington, NM 87401-5638 | 2005-07-13 |
| 1174124788 | Gwendolyn Marie Palmer | Social Worker | 1001 W Broadway, Farmington, NM 87401-5638 | 2020-11-02 |
| 1548871072 | Liandra Etcitty | Social Worker | 1001 W Broadway, Farmington, NM 87401-5638 | 2020-08-10 |
| 1891326138 | David Opoku Asante | Nurse Practitioner | 1001 W Broadway, Farmington, NM 87401-5638 | 2020-01-27 |
| 1841839529 | Miracle Ann Williams | Counselor | 1001 W Broadway, Farmington, NM 87401-5638 | 2019-12-30 |
| 1497392146 | Erika Begay | Case Manager/Care Coordinator | 1001 W Broadway, Farmington, NM 87401-5638 | 2019-12-02 |
| 1700422763 | Jeannie Wright | Case Manager/Care Coordinator | 1001 W Broadway, Farmington, NM 87401-5638 | 2019-11-25 |
| 1417599101 | John Oberly | Counselor | 1001 W Broadway, Farmington, NM 87401-5638 | 2019-10-14 |
| 1487205134 | Mark Lynn Marquez | Behavioral Analyst | 1001 W Broadway, Farmington, NM 87401-5638 | 2019-09-24 |
| 1174175087 | Melissa Anne Gladden | Nurse Practitioner | 1001 W Broadway, Farmington, NM 87401-5638 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1346712031 | Cathleen Julia Nowak | Social Worker | 10 Trotters Gln, Farmington, CT 06032-2748 | 2018-12-19 |
| 1225481732 | Rebekah Jo Ann Metz | Social Worker | 657 Walton Dr, Farmington, MO 63640-1935 | 2016-07-20 |
| 1306229364 | Christina Spies | Social Worker | 1565 St Genevieve Ave, Farmington, MO 63640-3454 | 2015-07-08 |
| 1023402641 | George Otu-appiah | Social Worker | 306 Colt Hwy, Farmington, CT 06032-3076 | 2015-03-20 |
| 1841680295 | Jennifer R. Hale | Social Worker | 1500 W. Columbia St., Farmington, MO 63640 | 2015-01-23 |
| 1871992230 | Rikka C. Bonnette | Social Worker | Pms Fchc 1001 W Broadway, Farmington, NM 87401-5638 | 2014-08-21 |
| 1144655010 | Catherine Scoville | Social Worker | 14 Rocky Ridge Ln, Farmington, CT 06032-2712 | 2013-09-10 |
| 1104184019 | Eva Jean Morales | Social Worker | 200 Summit Dr, Farmington, NM 87401-3410 | 2012-04-27 |
| 1306124425 | Pamela J Wright | Social Worker | 406 Airport Dr, Farmington, NM 87401-5518 | 2011-07-22 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on SUSAN HACK.
| 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.