Holly Bauer, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-08531 Issued in NM

Practice address

610 Gold Ave SW
Albuquerque, NM 87102-3146

Phone

(505) 219-1125

NPI assigned

Nov 19, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wishing Well Counseling Center, PLLCGroup PAC ID 7113311424, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wishing Well Counseling Center, PLLC

  • Mental Health Counselor
  • Suffolk, VA
  • NPI 1689042780
  Medicare reassignment Care Compare group NPD
• NM Department of Health

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Albuquerque, NM
  • NPI 1407990500

  Residential Treatment Facility, Emotionally Disturbed Children

  NPD (past)
• Thrive Counseling Services

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1083165476
  NPD (past)

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1972900967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 GANDERT AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871069607",
            "telephone_number": "505-610-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 GOLD AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023146",
            "telephone_number": "505-219-1125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3405 Pan American Fwy NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871074786",
            "country_code": "US",
            "telephone_number": "505-222-0331",
            "fax_number": "505-222-0301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "HOLLY",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NM",
            "license": "I-08531",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-08531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Baty
• Audrey Jacqueline Batz, PT
• Annette Bauder, PHARMACIST
• Laura Bauders, CRNA
• Erin Teresa Baudino-Burgarello, RD LD
• Kara Ann Bauer
• Kathryn Bauer, NNP-BC
• Ralph L Bauer III
• Ariele Bauers, RN, CNM
• Colin T Baugh, MOTR/L

• 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 Apr 29, 2022; 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.

Verify at the official NPI Registry.