Individual provider Active NPI

Jeanette Valdez, LMSW

  • Social Worker
  • Las Cruces, NM
National Provider Identifier
1124577903
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M08215 Issued in NM
Practice address
999 W Amador Ave
Las Cruces, NM 88005-2739
Phone
(575) 527-5482
NPI assigned
Sep 22, 2016
Last updated
Sep 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M08215 NM Primary

Addresses

Primary practice location

999 W Amador Ave
Las Cruces, NM 88005-2739

Mailing address

999 W Amador Ave
Las Cruces, NM 88005-2739
Phone (575) 527-5482

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201104003091 NM Practitioner - Clinical Social Worker 2769892694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amador Health Center, Inc.Group PAC ID 0244501633, 9 clinicians

Practice addresses (Care Compare)

999 W Amador Ave a
Las Cruces, NM 88005-2739
Phone (575) 527-5482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M08215NMMDSocial Worker

Interoperability endpoints

  • Direct secure messaging: jeanette.valdez.1@27572.direct.athenahealth.com
  • Direct secure messaging: jeanette.valdez.p1@direct.ahc.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1124577903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 W AMADOR AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052739",
            "telephone_number": "575-527-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 W AMADOR AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052739",
            "telephone_number": "575-527-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "JEANETTE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M08215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.