Active NPI
Janelle Otero, LMSW
- Social Worker
- Los Lunas, NM
National Provider Identifier
1174650741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-06264
- Practice address
- 226 El Cerro Loop
Los Lunas, NM 87031-9505 - Phone
- (505) 261-1505
- NPI assigned
- Feb 28, 2007
- 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-06264 | NM | Primary |
Addresses
Primary practice location
226 El Cerro Loop
Los Lunas, NM 87031-9505
Mailing address
226 El Cerro Loop
Los Lunas, NM 87031-9505
Phone (505) 261-1505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55036821 | Medicaid | NM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-06264 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174650741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 EL CERRO LOOP",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870319505",
"telephone_number": "505-261-1505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 EL CERRO LOOP",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870319505",
"telephone_number": "505-261-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTERO",
"first_name": "JANELLE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-06264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55036821",
"state": "NM"
}
],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.