Active NPI
Sherry Lynn Hatalsky, LCSW
- Clinical Social Worker
- Taos, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-09194
- Practice address
- 417 Valverde Commons Dr
Taos, NM 87571-4475 - Phone
- (505) 585-1355
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 19238 | CA | |
| Clinical Social Worker | 1041C0700X | C-09194 | NM | Primary |
Addresses
Primary practice location
417 Valverde Commons Dr
Taos, NM 87571-4475
Mailing address
417 Valverde Commons Dr
Taos, NM 87571-4475
Phone (505) 585-1355
Other practice location 1
3737 Sonoma Blvd
Vallejo, CA 94589-2201
Phone (707) 553-5814
Other practice location 2
2601 Wyoming Blvd NE Ste 203
Albuquerque, NM 87112-1033
Phone (505) 585-1355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
417 Valverde Commons Dr
Taos, NM 87571-4475
Phone (575) 425-0906
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 19238 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Many Paths Counseling Abq, LLC | Current | Accepting new patients |
Locations
2601 Wyoming Blvd NE
Ste 203
Albuquerque, NM 87112
Phone (505) 585-1355
2601 Wyoming Blvd NE
Ste 200
Albuquerque, NM 87112
Phone (833) 585-8331
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.
-
- Community/Behavioral Health Agency
- Taos, NM
- NPI 1447775697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1326109752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 VALVERDE COMMONS DR",
"city": "TAOS",
"state": "NM",
"postal_code": "875714475",
"telephone_number": "505-585-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 VALVERDE COMMONS DR",
"city": "TAOS",
"state": "NM",
"postal_code": "875714475",
"telephone_number": "505-585-1355"
}
],
"practiceLocations": [
{
"address_1": "3737 Sonoma Blvd",
"address_purpose": "LOCATION",
"city": "Vallejo",
"state": "CA",
"postal_code": "945892201",
"country_code": "US",
"telephone_number": "707-553-5814",
"fax_number": "707-553-5824",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2601 Wyoming Blvd NE Ste 203",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871121033",
"country_code": "US",
"telephone_number": "505-585-1355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATALSKY",
"first_name": "SHERRY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2022-07-21",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 19238",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-09194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.