NPIMap

Organization Active NPI

Hopi Health Care Center

  • Clinical Social Worker
  • Polacca, AZ
National Provider Identifier
1891130522
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0698081 Issued in NY
Legal business name
HOPI HEALTH CARE CENTER
Practice address
Highway 264 Milepost 388
Polacca, AZ 86042-4000
Phone
(928) 737-6000
NPI assigned
May 8, 2013
Last updated
May 8, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
DHHS IHS PHOENIX AREAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Ms. Theresa Ann Wilson, LCSWNPI 1295176733
Title
Clinical Social Worker
Phone
(928) 737-6188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0698081 NY Primary

Addresses

Primary practice location

Highway 264 Milepost 388
Polacca, AZ 86042-4000

Mailing address

Highway 264 Milepost 388
Polacca, AZ 86042-4000

National Provider Directory

National Provider Directory
Tax ID family
DHHS IHS Phoenix Area4 organizations share this tax ID, including this one
Part of
DHHS IHS Phoenix Area

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1891130522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HIGHWAY 264 MILEPOST 388",
            "city": "POLACCA",
            "state": "AZ",
            "postal_code": "860424000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 264 MILEPOST 388",
            "city": "POLACCA",
            "state": "AZ",
            "postal_code": "860424000",
            "telephone_number": "928-737-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPI HEALTH CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DHHS IHS PHOENIX AREA",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "928-737-6188",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0698081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Polacca, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.