Active NPI
Alyssa Elliott, LMSW
- Social Worker
- Albuquerque, NM
National Provider Identifier
1134599566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-09171
- Practice address
- 2551 Coors Blvd NW
Albuquerque, NM 87120-1213 - Phone
- (505) 338-3320
- NPI assigned
- Sep 28, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M-09171 | NM | Primary |
Addresses
Primary practice location
2551 Coors Blvd NW
Albuquerque, NM 87120-1213
Mailing address
2551 Coors Blvd NW
Albuquerque, NM 87120-1213
Phone (505) 338-3320
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-09171 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1134599566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2551 COORS BLVD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871201213",
"telephone_number": "505-338-3320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2551 COORS BLVD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871201213",
"telephone_number": "505-338-3320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "ALYSSA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-28",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-09171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.