MICHELLE EAGLEHAWK NPI 1003001611

Social Worker (Clinical) in Teecnospos, AZ

About MICHELLE EAGLEHAWK

Michelle Eaglehawk is a provider in Teecnospos, AZ. The NPI number assigned to this provider is 1003001611. The practitioner's primary taxonomy code is Social Worker (1041C0700X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI

1003001611

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name MICHELLE EAGLEHAWK
Provider Location AddressUS HWY 160 & NAVAJO ROUTE 25 - RED MESA TEECNOSPOS, AZ 86514 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressHCR 6100 BOX 30 TEECNOSPOS, AZ 86514 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-07-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date02-15-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MICHELLE EAGLEHAWK
US HWY 160 & NAVAJO ROUTE 25 - RED MESA
TEECNOSPOS, AZ
ZIP 86514
Phone: (505) 368-6401
Fax: (505) 368-6431
Get Directions

Mailing Address

MICHELLE EAGLEHAWK
HCR 6100 BOX 30
TEECNOSPOS, AZ
ZIP 86514
Phone: (505) 368-6401
Fax: (505) 368-6431

Primary Taxonomy

Taxonomy Code1041C0700X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationSocial Worker
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.LCSW-12444
License StateAZ
Taxonomy DescriptionA 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1104100000XBehavioral Health & Social Service ProvidersSocial WorkerI-06681NMNo

Taxonomy Description: a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
58459324MEDICAID (05)NM

Map Location


MICHELLE EAGLEHAWK address is US HWY 160 & NAVAJO ROUTE 25 - RED MESA TEECNOSPOS, AZ 86514

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154509594 FANNIE LOOKINGGLASS LMSW
Individual
Social WorkerUS HWY 160 & NAVAJO ROUTE 25 - RED MESA
TEECNOSPOS, AZ 86514
(928) 656-5137
1467788489 CHRISTANYA PHILLIPS LMT
Individual
Massage TherapistUS HWY 160 & NAVAJO ROUTE 25 - RED MESA
TEECNOSPOS, AZ 86514
(928) 656-5000
1497985196DHHS PHS NAIHS SHIPROCK HOSPITAL
Organization
Clinic/Center (Radiology)US HWY 160 & NAVAJO ROUTE 25 - RED MESA
TEECNOSPOS, AZ 86514
(928) 656-5000
1689804387DHHS PHS NAIHS SHIPROCK HOSPITAL
Organization
Clinical Medical LaboratoryUS HWY 160 & NAVAJO ROUTE 25 - RED MESA
TEENNOSPOS, AZ 86514
(928) 656-5000
1811981558DR. CHARLES AUSTIN NORRIS O.D.
Individual
Optometrist (Corneal and Contact Management)US HWY 160 & NAVAJO ROUTE 25 - RED MESA
TEECNOSPOS, AZ 86514
(928) 656-5165
1881884781 CYNTHIA J. ANDERSON
Individual
Social WorkerUS HWY 160 & NAVAJO ROUTE 25 - RED MESA
TEECNOSPOS, AZ 86514
(505) 368-6401
1982629226 FRANK GERHARDT BIEBERLY JR. MD
Individual
Internal MedicineUS HWY 160 & NAVAJO ROUTE 25 - RED MESA
TEECNOSPOS, AZ 86514
(928) 656-5000