Individual provider Active NPI

Amy Wong Hope, MSW/LISW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1669701348
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-08692 Issued in NM
Practice address
532 Don Gaspar Ave
Santa Fe, NM 87505-2626
Phone
(505) 660-9435
NPI assigned
Dec 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 216792 MA
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X I-08692 NM Primary

Addresses

Primary practice location

532 Don Gaspar Ave
Santa Fe, NM 87505-2626

Mailing address

532 Don Gaspar Ave
Santa Fe, NM 87505-2626
Phone (505) 660-9435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2023 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
216792MAMDClinical Social Worker
I-08692NMMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1669701348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 DON GASPAR AVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052626",
            "telephone_number": "505-660-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 DON GASPAR AVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052626",
            "telephone_number": "505-660-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPE",
        "first_name": "AMY",
        "middle_name": "WONG",
        "name_prefix": "Ms.",
        "credential": "MSW/LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "216792",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-08692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.