Individual provider Active NPI

Robert L. Hasbrook, LISW

  • Clinical Social Worker
  • Rio Rancho, NM
National Provider Identifier
1588735112
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-04547 Issued in NM
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
I-04547NMMDClinical 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.

Verify at the official NPI Registry.