Active NPI
Jorge Eduardo Tarango, MSW
- School Social Worker
- Los Lunas, NM
National Provider Identifier
1144646605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 119 Luna Avenue
Los Lunas, NM 87031 - Phone
- (505) 865-9636
- NPI assigned
- Mar 7, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| School Social Worker | 1041S0200X | Primary | ||
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
119 Luna Avenue
Los Lunas, NM 87031
Mailing address
843 Monte Vista Dr. NE
Los Lunas, NM 87031
Phone (505) 639-2543
Other practice location 1
750 Morris Rd SE
Los Lunas, NM 87031-5242
Phone (505) 866-2318
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1144646605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "843 MONTE VISTA DR. NE",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "87031",
"telephone_number": "505-639-2543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 LUNA AVENUE",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "87031",
"telephone_number": "505-865-9636"
}
],
"practiceLocations": [
{
"address_1": "750 Morris Rd SE",
"address_purpose": "LOCATION",
"city": "Los Lunas",
"state": "NM",
"postal_code": "870315242",
"country_code": "US",
"telephone_number": "505-866-2318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TARANGO",
"first_name": "JORGE",
"middle_name": "EDUARDO",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.