Lisa K Cherino, LMSW,LADAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

044DBK Issued in NM

Practice address

01 Sagebrush Street
Isleta, NM 87022-0000

Phone

(505) 869-4863

Fax

(505) 869-4881

NPI assigned

Aug 25, 2008

Sex

Female

Sole proprietor

No

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.

• Pueblo of Isleta

  • Clinic/Center
  • Isleta, NM
  • NPI 1194738328

  NM

  Medicare reassignment Care Compare group NPD
• Pueblo of Isleta

  • Ambulance
  • Isleta, NM
  • NPI 1023191368
  Care Compare group NPD (past)
• Pueblo of Isleta

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Isleta, NM
  • NPI 1407979008
  Care Compare group NPD (past)
• Pueblo of Isleta

  • Public Health Dentistry
  • Isleta, NM
  • NPI 1225158348
  NPD

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pueblo of Isleta 13 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 25, 2008.

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1104073816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "01 SAGEBRUSH STREET",
            "city": "ISLETA",
            "state": "NM",
            "postal_code": "870220000",
            "telephone_number": "505-869-4863",
            "fax_number": "505-869-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "01 SAGEBRUSH STREET",
            "city": "ISLETA",
            "state": "NM",
            "postal_code": "870220000",
            "telephone_number": "505-869-4863",
            "fax_number": "505-869-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERINO",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "LMSW,LADAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "044DBK",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO LICENSE",
            "identifier": "044DBK",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Leanne Carrasco, RPH
• Erica Marie Carrillo, RDH
• Kaylee Briana Chavez
• Keely Justice Chavez, RN
• Misti Marlene Chavez, PHARM D.
• Susan Stephanie Chewiwi, M.S.
• Jessica Chynoweth, M.D
• Kimberly L. Conklan
• Lois Coomer
• Annie Felicia Coots, RN

• All providers in Isleta, NM
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.