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

Michael Ollom, LISW

Individual provider Clinical Social Worker · NPI 1558370122

Michael Ollom, LISW is a Clinical Social Worker in Bernalillo, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

See every abbreviation used in this directory →

Practice location Address checks out

872 S Camino Del Pueblo
Bernalillo, NM 87004-5927
Phone: (505) 867-2383
Fax: (505) 867-7293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LISW - I-05823 (NM)

Record details

NPI number1558370122
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESMay 2, 2008
Mailing address55 El Cedro Rd, Tijeras, NM 87059-7429

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