Active NPI
Special Concerns of Women and Children
Doing business as Livingwell
- Clinical Social Worker
- Los Ranchos, NM
National Provider Identifier
1073800702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-06493
- Legal business name
- SPECIAL CONCERNS OF WOMEN AND CHILDREN
- Doing business as
- Livingwell
- Practice address
- 312 Wayne Rd NW
Los Ranchos, NM 87114-1028 - Phone
- (505) 792-4519
- NPI assigned
- Jul 1, 2011
- Last updated
- Jul 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel Mintie
- Title
- Owner
- Phone
- (505) 792-4519
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-06493 | NM | Primary |
Addresses
Primary practice location
312 Wayne Rd NW
Los Ranchos, NM 87114-1028
Mailing address
312 Wayne Rd NW
Los Ranchos, NM 87114-1028
Other names 1
- Livingwell
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Los Ranchos, NM
- NPI 1720372972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309478400000",
"number": "1073800702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 WAYNE RD NW",
"city": "LOS RANCHOS",
"state": "NM",
"postal_code": "871141028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 WAYNE RD NW",
"city": "LOS RANCHOS",
"state": "NM",
"postal_code": "871141028",
"telephone_number": "505-792-4519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIAL CONCERNS OF WOMEN AND CHILDREN",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-01",
"last_updated": "2011-07-01",
"status": "A",
"authorized_official_last_name": "MINTIE",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-792-4519",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-06493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Livingwell",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Ranchos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.