Active NPI
Julie A Holbrook, LISW
- Clinical Social Worker
- Espanola, NM
National Provider Identifier
1407189459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106027
- Practice address
- 1102 A Paseo de Onate
Espanola, NM 87532 - Phone
- (505) 852-1377
- Fax
- (505) 852-1378
- NPI assigned
- Sep 9, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 106027 | NM | Primary |
Addresses
Primary practice location
1102 A Paseo de Onate
Espanola, NM 87532
Mailing address
7 Avenida Vista Grande # 306
Santa Fe, NM 87508-9198
Phone (505) 466-2260
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
| License | State | Type | Specialty |
|---|---|---|---|
| 106027 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eight Northern Indian Pueblos Council, Inc. | Clinical | Past | Accepting new patients |
| Eight Northern Indian Pueblos Council, Inc. | Clinical | 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.
-
- Community/Behavioral Health Agency
- Ohkay Owingeh, NM
- NPI 1437275393
Clinical
-
- Community/Behavioral Health Agency
- Ohkay Owingeh, NM
- NPI 1558668434
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252454400000",
"number": "1407189459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 AVENIDA VISTA GRANDE # 306",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875089198",
"telephone_number": "505-466-2260",
"fax_number": "505-466-2909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 A PASEO DE ONATE",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "87532",
"telephone_number": "505-852-1377",
"fax_number": "505-852-1378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "JULIE",
"middle_name": "A",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-09",
"last_updated": "2009-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "106027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.