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MELISSA HAGSTRUM LISW PHD
NPI 1639595291
Social Worker - Clinical in Santa Fe, NM

Active since March 06, 2014
901 W SAN MATEO RD, D4, SANTA FE, NM 87505(505) 660-0403 Get Directions Write a Review

NPPES record last updated: March 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melissa Hagstrum Lisw Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA HAGSTRUM LISW PHD (NPI 1639595291) is a healthcare organization registered as a clinical in Santa Fe, New Mexico and active in the NPI registry since March 2014. The organization lists Melissa B. Hagstrum, Owner, as its authorized official.

NPPES Registry Identity

NPI1639595291
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMELISSA HAGSTRUM LISW PHD
Location Address901 W SAN MATEO RD, D4Santa Fe, NM 87505-3981
Mailing Address6 Frasco RdSanta Fe, NM 87508-8842 · (505) 660-0403
Phone(505) 660-0403
Organization SubpartNo
Authorized OfficialMelissa B. HagstrumOwner · (505) 660-0403
Enumeration DateMarch 6, 2014
✔ NPI 1639595291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NM · I-08107
Definition
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 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.
901 W SAN MATEO RD, Santa Fe, NM 87505
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUDITH ANN BAKER LISW
Social Worker (Clinical)
901 W SAN MATEO RD, SUITE #D-4
SANTA FE, NM 87505
Santa Fe County (505) 946-8155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Hagstrum Lisw Phd's NPI number?

The NPI number for Melissa Hagstrum Lisw Phd is 1639595291. It was assigned to this organization in the NPPES registry on March 6, 2014.

Where is Melissa Hagstrum Lisw Phd located?

Melissa Hagstrum Lisw Phd is located at 901 W San Mateo Rd D4, Santa Fe, NM 87505. The listed phone number is (505) 660-0403.

What is Melissa Hagstrum Lisw Phd's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Melissa Hagstrum Lisw Phd was last updated on March 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.