Crystal Denise Pisana

Primary specialty

Social WorkerTaxonomy code 104100000X

License

X-12161 Issued in NM

Practice address

406 Cambridge Ave
Hagerman, NM 88232-9610

Phone

(575) 752-0242

NPI assigned

Nov 26, 2021

Last updated

Nov 26, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1073270948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 CARVER DRIVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88203",
            "telephone_number": "575-910-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 CAMBRIDGE AVE",
            "city": "HAGERMAN",
            "state": "NM",
            "postal_code": "882329610",
            "telephone_number": "575-752-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISANA",
        "first_name": "CRYSTAL",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-26",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X-12161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpisana@bobcat.net",
            "affiliation": "N",
            "endpointDescription": "School Email Address",
            "address_1": "406 Cambridge Ave",
            "city": "Hagerman",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882329610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katelyn Gray, ED.S
• Cindy Henson
• Katelyn Johnson
• Laura Lorraine Orozco
• Carolyn Marie Owens I
• Warren Scott
• Miriam Edith Tarango
• Town of Hagerman (Hagerman Ambulance Service)

• Social Worker in Hagerman, NM
• Providers in Hagerman, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.