Individual provider Active NPI

Stephanie Nicole Valverde, LCSW

  • Clinical Social Worker
  • Cannon Afb, NM
National Provider Identifier
1114646718
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66891 Issued in TX
Practice address
27TH Special Operations Medical Group
224 W.D.Lingram Ave. BLDG 1408
Cannon Afb, NM 88103
Phone
(575) 784-4228
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 66891 TX Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

27TH Special Operations Medical Group
224 W.D.Lingram Ave. BLDG 1408
Cannon Afb, NM 88103

Mailing address

6708 91St St
Lubbock, TX 79424-6735

Other practice location 1

3223 S Loop 289 Ste 150
Lubbock, TX 79423-1339
Phone (505) 227-3387

Other practice location 2

3510 4th St
Lubbock, TX 79415-3329
Phone (806) 472-3400 ext. 3569

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1114646718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6708 91ST ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27TH SPECIAL OPERATIONS MEDICAL GROUP",
            "address_2": "224 W.D.LINGRAM AVE. BLDG 1408",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "88103",
            "telephone_number": "575-784-4228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3223 S Loop 289 Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794231339",
            "country_code": "US",
            "telephone_number": "505-227-3387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3510 4th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794153329",
            "country_code": "US",
            "telephone_number": "806-472-3400 x3569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALVERDE",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66891",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cannon Afb, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.