Active NPI
Kirsten M Hockemeier, LISW
- Clinical Social Worker
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-3387
- Practice address
- 2601 Wyoming Blvd NE
Suite 101
Albuquerque, NM 87112 - Phone
- (505) 404-0717
- Fax
- (505) 999-1172
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LISW - I-3387 | NM | |
| Clinical Social Worker | 1041C0700X | I-3387 | NM | Primary |
Addresses
Primary practice location
2601 Wyoming Blvd NE
Suite 101
Albuquerque, NM 87112
Mailing address
1600 San Pedro Dr NE
Albuquerque, NM 87110-6734
Phone (505) 404-0717
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11700402 | Other | CAQH | |
| 071433 | Medicaid | NM | |
| Z1433 | Medicaid | NM |
Other names 1
- Mrs. Kirsten M Choubard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1600 San Pedro Dr NE
Albuquerque, NM 87110-6734
Phone (877) 818-6054
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-3387 | NM | MD | Clinical Social Worker |
| LISW - I-3387 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling World, LLC | Clinical | Current | Accepting new patients |
Locations
2601 Wyoming Blvd NE
Ste 101
Albuquerque, NM 87112
Phone (505) 315-3001
1600 San Pedro Dr NE
Albuquerque, NM 87110
Phone (505) 404-0717
1400 Barbara Loop SE
Ste D4
Rio Rancho, NM 87124
Phone (877) 818-6054
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1902815525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 SAN PEDRO DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871106734",
"telephone_number": "505-404-0717",
"fax_number": "505-999-1172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 WYOMING BLVD NE",
"address_2": "SUITE 101",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87112",
"telephone_number": "505-404-0717",
"fax_number": "505-999-1172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCKEMEIER",
"first_name": "KIRSTEN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "LISW - I-3387",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-3387",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11700402",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "071433",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z1433",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIRSTEN",
"last_name": "CHOUBARD",
"middle_name": "M",
"prefix": "MRS.",
"credential": "LISW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.