Katrina Anne Engstrom, LSCW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-10569 Issued in NM

Practice address

1909 Cuba Ave Ste 5
Alamogordo, NM 88310-5646

Phone

(575) 489-4916

NPI assigned

Jun 19, 2015

Last updated

Jul 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunflower Youth and Family Counseling, LLC

  • Clinical Social Worker
  • Alamogordo, NM
  • NPI 1588120802
  NPD Authorized official

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1649652215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N STE 200D",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013243",
            "telephone_number": "575-430-4919",
            "fax_number": "855-679-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 CUBA AVE STE 5",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105646",
            "telephone_number": "575-489-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGSTROM",
        "first_name": "KATRINA",
        "middle_name": "ANNE",
        "credential": "LSCW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10154337",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99502542",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Egber
• El Paso Hearing Aid Center, Inc (Southwest Hearing Services)
• Elizabeth M Tucker DO PC
• Alisa Ellison
• Enchantment Therapy LLC
• Neveyah Lebree Kay Enjady
• Claudia Elizabeth Enriquez
• Epmed, PA (NewMexico Pain Center of Alamogordo)
• Jennifer Ernest
• Jaqueline Escalante

• Clinical Social Worker in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.