Sandra Hollis, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-08490 Issued in NM

Practice address

338 Whiteoaks Dr NE
Albuquerque, NM 87122-1411

Phone

(505) 249-6156

NPI assigned

Nov 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383436800000",
    "number": "1720417439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 WHITEOAKS DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871221411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 WHITEOAKS DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871221411",
            "telephone_number": "505-249-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "SANDRA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-03",
        "last_updated": "2013-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-08490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammie Hollingsworth-Puckett, LMT
• Hollingsworth, Inc.
• Jan K Hollingsworth, LPCC
• Sandra Marie Hollingsworth, MSW
• Tracy J Hollingworth, PHD, LPCC
• Logan Hollister
• Kyle Holloway, PHARMD
• Ryan Holloway
• Connor Hollowwa, DDS
• Cristina Hollowwa, PA

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, 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 Nov 3, 2013; 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.