Active NPI
Umoja Behavioral Health
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1144932302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- UMOJA BEHAVIORAL HEALTH
- Practice address
- 3150 Carlisle Blvd NE
Albuquerque, NM 87110-1678 - Phone
- (505) 663-6163
- NPI assigned
- Dec 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mollie (Leila) Kelly
- Title
- Therapist
- Phone
- (505) 314-6037
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3150 Carlisle Blvd NE
Albuquerque, NM 87110-1678
Mailing address
3150 Carlisle Blvd NE
Albuquerque, NM 87110-1678
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@umojawellness.com |
National Provider Directory
National Provider DirectoryLocations
3150 Carlisle Blvd NE
Albuquerque, NM 87110
Phone (505) 633-8173
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Albuquerque, NM
- NPI 1639882749
-
- Mental Health Counselor
- Albuquerque, NM
- NPI 1790448496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671494400000",
"number": "1144932302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150 CARLISLE BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 CARLISLE BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101678",
"telephone_number": "505-663-6163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UMOJA BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-20",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "MOLLIE (LEILA)",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "505-314-6037"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@umojawellness.com",
"affiliation": "N",
"address_1": "3150 Carlisle Blvd NE",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871101678",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 20, 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.