KENNETH W HODDER LISW NPI 1912950999

NPI Information

NPI: 1912950999
Provider Name: KENNETH W HODDER, LISW
Classification: Social Worker - 104100000X
Entity Type: Individual
PECOS Registration: Yes
Address: 1100 ALAMEDA BLVD NW
ALBUQUERQUE, NM
ZIP 87114
Phone: (505) 897-7883

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NPI Details

Kenneth W Hodder, LISW is a social worker in Albuquerque, NM with 45 years of experience. The provider is 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. Kenneth W Hodder, LISW NPI is 1912950999. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1100 ALAMEDA BLVD NW
ALBUQUERQUE, NM
ZIP 87114-937
Phone: (505) 897-7883
Fax: (505) 792-8578

The NPI 1912950999 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 7/9/2007.

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
1	104100000X	Social Worker		I-2148	NEW MEXICO	Yes

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
1	860663612 0001	OTHER	NEW MEXICO	CIGNA HEALTHCARE
2	86066361287114A001	OTHER	NEW MEXICO	TRIWEST HEALTHCARE ALLIAN
3	00NM00R32L	OTHER	NEW MEXICO	BLUE CROSS BLUE SHIELD
4	105879	OTHER	NEW MEXICO	MHN
5	NM10005	MEDICAID	NEW 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: 11/21/2025

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