Active NPI
Theresa Grace Sanchez
- Clinical Social Worker
- Alamogordo, NM
National Provider Identifier
1063817898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 62403
- Practice address
- 1207 8TH St
Alamogordo, NM 88310-5834 - Phone
- (575) 437-9340
- Fax
- (575) 434-6629
- NPI assigned
- Oct 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | X-08682 | NM | |
| Clinical Social Worker | 1041C0700X | 62403 | TX | Primary |
Addresses
Primary practice location
1207 8TH St
Alamogordo, NM 88310-5834
Mailing address
3201 Tyler Ave
El Paso, TX 79930-4917
Phone (915) 497-2335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62403 | Other | TX | LCSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X-08682 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1063817898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 TYLER AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799304917",
"telephone_number": "915-497-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 8TH ST",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883105834",
"telephone_number": "575-437-9340",
"fax_number": "575-434-6629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "THERESA",
"middle_name": "GRACE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-22",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "X-08682",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "62403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "62403",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.