Organization Active NPI

Elise Hensley, Lisw, Inc.

  • Clinical Social Worker
  • Los Lunas, NM
National Provider Identifier
1659782191
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-04788 Issued in NM
Legal business name
ELISE HENSLEY, LISW, INC.
Practice address
02 Hormiga CT.
Los Lunas, NM 87031-3319
Phone
(505) 270-8778
NPI assigned
May 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Miss Elise Hensley, LISWNPI 1194736223
Title
President
Phone
(505) 270-8778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I-04788 NM Primary

Addresses

Primary practice location

02 Hormiga CT.
Los Lunas, NM 87031-3319

Mailing address

02 Hormiga CT.
P. O. Box 3319
Los Lunas, NM 87031-3319
Phone (505) 270-8778

Other identifiers 1

IdentifierTypeStateIssuer
81202229MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220119000072 NM Part B Supplier - Clinic/Group Practice 3476945775 Receives reassigned benefits from 1 practitioner
Practice locations: Los Lunas, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1659782191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "02 HORMIGA CT.",
            "address_2": "P. O. BOX 3319",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870313319",
            "telephone_number": "505-270-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "02 HORMIGA CT.",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870313319",
            "telephone_number": "505-270-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISE HENSLEY, LISW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-270-8778",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-04788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81202229",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.