Provider Demographics
NPI:1851632020
Name:KIRMER, HOPE (LCSW)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:KIRMER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5019 KOKOPELLI DR NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-0849
Mailing Address - Country:US
Mailing Address - Phone:505-204-2761
Mailing Address - Fax:
Practice Address - Street 1:5019 KOKOPELLI DR NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-0849
Practice Address - Country:US
Practice Address - Phone:505-204-2761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-12
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMM-09437104100000X
NMSWB-2023-0777104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker