Katherine Quick Ssejjemba

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-12053 Issued in NM

Practice address

920 W Broadway St
Hobbs, NM 88240-5529

Phone

(575) 393-3168

NPI assigned

Apr 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Guidance Center of Lea County, Inc

  • Community/Behavioral Health Agency
  • Hobbs, NM
  • NPI 1740211333

  Clinical

  NPD (past)

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1831586304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 907",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882410907",
            "telephone_number": "575-393-3168",
            "fax_number": "575-397-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W BROADWAY ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882405529",
            "telephone_number": "575-393-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SSEJJEMBA",
        "first_name": "KATHERINE",
        "middle_name": "QUICK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-12053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26021722",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeast New Mexico Podiatry Associates Inc
• Southwest Medical Arts LLC
• Southwest Pathways Speech and Communication Therapy Services LLC
• Sprocket Medical Management LLC
• Sproket Medical Managemet
• Clarresa Stamps
• Star Care Home Health, LLC
• Star Hospice, LLC
• Rebecca Starkey, RN
• Cyndi A Stephenson, LMHC

• Clinical Social Worker in Hobbs, NM
• Providers in Hobbs, 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 Dec 30, 2021; 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.