Active NPI
Bhanu Joy Harrison, LISW
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1457391492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I5529
- Practice address
- 4308 Carlisle Blvd NE
Suite 209
Albuquerque, NM 87107-4856 - Phone
- (505) 837-2100
- Fax
- (505) 888-7943
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | I5529 | NM | Primary |
Addresses
Primary practice location
4308 Carlisle Blvd NE
Suite 209
Albuquerque, NM 87107-4856
Mailing address
4308 Carlisle Blvd NE
Suite 209
Albuquerque, NM 87107-4856
Phone (505) 837-2100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201047515 | Other | NM | PRESBYTERIAN HEALTH PLAN |
| 02158728 | Medicaid | NM | |
| VNM0130 | Other | NM | VALVE OPTIONS |
| NM101457 | Other | NM | VALVE OPTIONS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I5529 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274745600000",
"number": "1457391492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4308 CARLISLE BLVD NE",
"address_2": "SUITE 209",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871074856",
"telephone_number": "505-837-2100",
"fax_number": "505-888-7943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4308 CARLISLE BLVD NE",
"address_2": "SUITE 209",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871074856",
"telephone_number": "505-837-2100",
"fax_number": "505-888-7943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "BHANU",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2010-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I5529",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH PLAN",
"identifier": "201047515",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02158728",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALVE OPTIONS",
"identifier": "VNM0130",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALVE OPTIONS",
"identifier": "NM101457",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.