Individual
MS. KIRSTEN M HOCKEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2601 WYOMING BLVD NE, SUITE 101, ALBUQUERQUE, NM 87112
(505) 404-0717
(505) 999-1172
Mailing address
1600 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6734
(505) 404-0717
(505) 999-1172
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-3387
NM
1041C0700X
Clinical Social Worker
LISW - I-3387
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071433
—
NM
01
—
11700402
CAQH
—
05
—
Z1433
—
NM
Enumeration date
08/05/2006
Last updated
05/03/2021
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