Hollis Blatt, MSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1-05950 Issued in NM

Practice address

11930 Menaul Blvd NE Ste 225C
Albuquerque, NM 87112-2465

Phone

(505) 323-4447

Fax

(505) 323-5075

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chrysalis Enterprises

  • Adult Mental Health Clinic/Center
  • Albuquerque, NM
  • NPI 1508395518
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1083743199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11930 MENAUL BLVD NE STE 225C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122465",
            "telephone_number": "505-323-4447",
            "fax_number": "505-323-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 MENAUL BLVD NE STE 225C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122465",
            "telephone_number": "505-323-4447",
            "fax_number": "505-323-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATT",
        "first_name": "HOLLIS",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "1-05950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51437775",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Lea Blanton, PA-C
• Elizabeth Anne Blasberg, M.D.
• Oakley Quinn Blasdel, RN
• Mary Blasi, MD
• Mary-Elizabeth Blasingame, LMBT
• Kara Dione Blattman, OTRL
• Alan Charles Blaugrund, MD
• Abby R Blaylock
• Alexandra Blaylock
• Gerold J Blazek, MD

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.