Deserii Mondragon, LMSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

M-10245 Issued in NM

Practice address

405 S 6TH St
Artesia, NM 88210-2079

Phone

(575) 746-4811

NPI assigned

Aug 16, 2018

Last updated

Aug 16, 2018By the provider in NPPES

Sex

Female

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

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

• Artesia Public Schools

  • Local Education Agency (LEA)
  • Artesia, NM
  • NPI 1225180748
  NPD (past)

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1073093324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BULLDOG BLVD",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101731",
            "telephone_number": "575-746-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S 6TH ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882102079",
            "telephone_number": "575-746-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDRAGON",
        "first_name": "DESERII",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "M-10245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle McIntire, FNP-C
• Kathleen McMahon, LPCC
• Constance Young Medley, CLINICAL SOCIAL WORK
• Michael J Grafe DO LTD
• Micki J Miller, LMT
• Alexandra C Moore
• Paola Morales
• Johnny C. Moreno, M.D.
• Sandra Moreno
• Santiago Chavez Morillon

• School Social Worker in Artesia, NM
• Providers in Artesia, 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 Aug 16, 2018; 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.