Active NPI
Robert L. Hasbrook, LISW
- Clinical Social Worker
- Rio Rancho, NM
National Provider Identifier
1588735112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-04547
- Practice address
- 2006 Southern Blvd SE
Suite 204
Rio Rancho, NM 87124-3764 - Phone
- (505) 280-3374
- Fax
- (505) 994-1622
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- 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 | I-04547 | NM | Primary |
Addresses
Primary practice location
2006 Southern Blvd SE
Suite 204
Rio Rancho, NM 87124-3764
Mailing address
PO Box 3308
Corrales, NM 87048-3308
Phone (505) 280-3374
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 |
|---|---|---|---|
| I-04547 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588735112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3308",
"city": "CORRALES",
"state": "NM",
"postal_code": "870483308",
"telephone_number": "505-280-3374",
"fax_number": "505-794-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 SOUTHERN BLVD SE",
"address_2": "SUITE 204",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871243764",
"telephone_number": "505-280-3374",
"fax_number": "505-994-1622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASBROOK",
"first_name": "ROBERT",
"middle_name": "L.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-04547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.