Active NPI
Lizeth Judith Sandoval
- Social Worker
- Albuquerque, NM
National Provider Identifier
1073261830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-11186
- Practice address
- 7301 Indian School Rd NE Ste a
Albuquerque, NM 87110-4504 - Phone
- (505) 266-0441
- Fax
- (505) 266-0504
- NPI assigned
- Mar 11, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M-11186 | NM | Primary |
Addresses
Primary practice location
7301 Indian School Rd NE Ste a
Albuquerque, NM 87110-4504
Mailing address
7301 Indian School Rd NE Ste a
Albuquerque, NM 87110-4504
Phone (505) 266-0441
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-11186 | NM | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walsh Counseling Services LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Albuquerque, NM
- NPI 1104398114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1073261830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 INDIAN SCHOOL RD NE STE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104504",
"telephone_number": "505-266-0441",
"fax_number": "505-266-0504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 INDIAN SCHOOL RD NE STE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104504",
"telephone_number": "505-266-0441",
"fax_number": "505-266-0504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL",
"first_name": "LIZETH",
"middle_name": "JUDITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-11",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-11186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.