Carol S Hinote, LISW

Individual provider Active NPI Clinical Social Worker · Albuquerque, NM

NPI 1164598983 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164598983
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
I-5309 (NM)
Practice address
2220 Marie PL NW
Albuquerque, NM 87104-2510
Phone
(505) 730-2344
NPI assigned
Nov 24, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20241029002728 NM Practitioner - Clinical Social Worker 4981137940 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
I-5309NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peopleworks-NM Clinical Current
since Aug 17, 2024
Accepting new patients

Locations

1005 21st St SE
Ste B
Rio Rancho, NM 87124
Phone (505) 353-2061

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-5309 NM Yes

Addresses

Primary practice location

2220 Marie PL NW
Albuquerque, NM 87104-2510

Mailing address

2220 Marie PL NW
Albuquerque, NM 87104-2510

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Clinical Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.