Organization · Type 2 NPI

Melissa Hagstrum Lisw PHD

Clinical Social Worker · Santa Fe, NM

NPI number 1639595291 Active

Practice location

901 W San Mateo Rd, D4
Santa Fe, NM 87505-3981

Call (505) 660-0403 Map

Mailing address

6 Frasco Rd
Santa Fe, NM 87508-8842

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-08107 (NM)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1639595291

Melissa Hagstrum Lisw PHD's National Provider Identifier is 1639595291, issued on Mar 6, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Fe, NM. The record was last updated on Mar 6, 2014.