IndividualActive
Joseph Hogan, LISW
NPI 1275560724 · Clinical Social Worker · Kirtland Afb, NM
Provider details
- NPI number
- 1275560724
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LISW
- Sex
- Male
- Sole proprietor
- Yes
- License
- LSW0000004849 (TN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
2050a 2nd St Se
Kirtland Afb, NM 87117-5522
Phone: (505) 270-4387
Approximate (ZIP-level) locationGet directions
Mailing address
2050a 2nd St Se
Kirtland Afb, NM 87117-5522
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2021-04-05
- Certified
- 2021-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.