Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holly Bauer, LISW

Individual provider Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1972900967

Holly Bauer, LISW is a Clinical Social Worker in Albuquerque, New Mexico. Qualified in 2004, 22 years ago. Practices with Wishing Well Counseling Center, PLLC, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
22
Licensed in
NM
In the registry since
2014
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

610 Gold Ave SW
Albuquerque, NM 87102-3146
Phone: (505) 219-1125
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3405 Pan American Fwy Ne, Albuquerque, NM 87107-4786 — (505) 222-0331

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C-08531 (NM)
Emotionally Disturbed Childrens' Residential Treatment Facility Taxonomy 322D00000X · Licence I-08531 (NM)

Record details

NPI number1972900967
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorYes
NPI enumeratedNovember 19, 2014
Last updated in NPPESApril 29, 2022
Certification dateApril 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Wishing Well Counseling Center, Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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