Eva Jean Morales, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

C-4218 Issued in NM

Practice address

1009 Ridgeway PL Ste 100
Farmington, NM 87401-2092

Phone

(505) 327-0002

Fax

(505) 325-9443

NPI assigned

Apr 27, 2012

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Juan Health and Wellness CenterGroup PAC ID 4284905308, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• San Juan Health and Wellness Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Farmington, NM
  • NPI 1568998029

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1104184019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 RIDGEWAY PL STE 100",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012092",
            "telephone_number": "505-327-0002",
            "fax_number": "505-325-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 RIDGEWAY PL STE 100",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012092",
            "telephone_number": "505-327-0002",
            "fax_number": "505-325-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "EVA",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NM",
            "license": "C-4218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Moore, LSAA
• Mary Alma Moore, LPN
• Paul Robert Moore, RN, CRNA
• Roxie Moore, LSAA
• Stephanie Moore
• Luis Roberto Morales, BSB(GBM)
• Mori Medical Equipment Inc
• Rachel Morr, PA
• Rylee Morris, LMHC
• Amanda C Morrison-Thrower, OT

• Social Worker in Farmington, NM
• Providers in Farmington, 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 Aug 17, 2021; 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.