Active NPI
Stephanie Nicole Valverde, LCSW
- Clinical Social Worker
- Cannon Afb, NM
National Provider Identifier
1114646718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 66891
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.