Individual provider Active NPI

Sayyid Stanford, LCSW

  • Clinical Social Worker
  • Holloman Afb, NM
National Provider Identifier
1548721962
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113545 Issued in TX
Practice address
49 MDG, 280 David L. Goldfein Street
BLDG 23
Holloman Afb, NM 66442
Phone
(575) 572-3564
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11124 CT
Clinical Social Worker 1041C0700X 113545 TX Primary

Addresses

Primary practice location

49 MDG, 280 David L. Goldfein Street
BLDG 23
Holloman Afb, NM 66442

Mailing address

49 MDG, 280 David L. Goldfien Street
BLDG 23
Holloman Afb, NM 88330

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
11124CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healingsols Wellness Services LLC Social Worker Current Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1548721962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 MDG, 280 DAVID L. GOLDFIEN STREET",
            "address_2": "BLDG 23",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "88330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 MDG, 280 DAVID L. GOLDFEIN STREET",
            "address_2": "BLDG 23",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "66442",
            "telephone_number": "575-572-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "SAYYID",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "11124",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "113545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holloman Afb, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.