Gabriel C Cordova, LMSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

M-10436 Issued in NM

Practice address

620 Lomas Blvd NW
Albuquerque, NM 87102-2080

Phone

(505) 247-1701

Fax

(505) 247-1704

NPI assigned

Jul 24, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Regional Education Cooperative

  • Local Education Agency (LEA)
  • Deming, NM
  • NPI 1114081858
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1043863442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 E POPLAR ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304807",
            "telephone_number": "575-546-5951",
            "fax_number": "575-546-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 LOMAS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022080",
            "telephone_number": "505-247-1701",
            "fax_number": "505-247-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "GABRIEL",
        "middle_name": "C",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "M-10436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bud Wayne Cordova
• Cecilia Lorraine Cordova, CFNP
• Celena Cordova, LMHC
• Christina Cordova
• Esperanza B Cordova
• Heather Marie Cordova
• Ignacio Ruben Cordova III, DDS
• Jennifer Cordova, OT
• Jennifer J Cordova, SLP
• Jonathon Gabriel Cordova, MD

• School Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• School Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.