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MICHELLE EAGLEHAWK NPI 1003001611

NPI Profile

NPI: 1003001611
Provider Name: MICHELLE EAGLEHAWK
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
US HWY 160 & NAVAJO ROUTE 25 - RED MESA
TEECNOSPOS, AZ
ZIP 86514
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Phone: (505) 368-6401

Michelle Eaglehawk is a healthcare provider in Teecnospos, AZ.The provider is 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. Michelle Eaglehawk NPI is 1003001611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

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

The enumeration date for this NPI number is 9/7/2007 and was last updated on 2/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerI-06681NEW MEXICONo
21041C0700XSocial WorkerClinicalLCSW-12444ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
158459324MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 10/13/2019

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.