Organization Active NPI

Marcy a. Haig Lisw LLC

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1962772400
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0079 Issued in NM
Legal business name
MARCY A. HAIG LISW LLC
Practice address
2074 Galisteo STR. Ste. A1
Santa Fe, NM 87505-2104
Phone
(505) 983-6432
Fax
(505) 983-6432
NPI assigned
Dec 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Ms. Marcy A. Haig, LISW
Title
Licensed Independent Social Worker
Phone
(505) 983-6432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I-0079 NM Primary

Addresses

Primary practice location

2074 Galisteo STR. Ste. A1
Santa Fe, NM 87505-2104

Mailing address

2074 Galisteo STR. Ste A1
Santa Fe, NM 87505-2104
Phone (505) 983-6432

Other identifiers 1

IdentifierTypeStateIssuer
100062MedicaidNM

National Provider Directory

National Provider Directory

Locations

2074 Galisteo St
Santa Fe, NM 87505
Phone (505) 983-6432

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1962772400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 GALISTEO STR. STE A1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052104",
            "telephone_number": "505-983-6432",
            "fax_number": "505-983-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 GALISTEO STR. STE. A1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052104",
            "telephone_number": "505-983-6432",
            "fax_number": "505-983-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCY A. HAIG LISW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "HAIG",
        "authorized_official_first_name": "MARCY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "LICENSED INDEPENDENT SOCIAL WORKER",
        "authorized_official_telephone_number": "505-983-6432",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-0079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100062",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.