Individual provider Active NPI

Kathleen Mary Sansing, LISW

  • School Social Worker
  • Aztec, NM
National Provider Identifier
1295914455
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
I-04973 Issued in NM
Practice address
1607 W Aztec Blvd
Aztec, NM 87410-1805
Phone
(505) 334-6102
Fax
(505) 599-4385
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X I-04973 NM Primary

Addresses

Primary practice location

1607 W Aztec Blvd
Aztec, NM 87410-1805

Mailing address

1607 W Aztec Blvd
Aztec, NM 87410-1805
Phone (505) 334-6102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I-04973NMMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aztec Municipal School District School Past Accepting new patients
Aztec Municipal Schools Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1295914455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 W AZTEC BLVD",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874101805",
            "telephone_number": "505-334-6102",
            "fax_number": "505-599-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 W AZTEC BLVD",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874101805",
            "telephone_number": "505-334-6102",
            "fax_number": "505-599-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSING",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "I-04973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aztec, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.