Richard Brannen Lara, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

X05752 Issued in NM

Practice address

404 Hunter St
Espanola, NM 87532-2655

Phone

(505) 753-4123

Fax

(505) 753-6947

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Las Cumbres Community Services

  • Community/Behavioral Health Agency
  • Espanola, NM
  • NPI 1053460287
  NPD (past)
• Las Cumbres Community Services

  • Early Intervention Provider Agency
  • Espanola, NM
  • NPI 1295232734
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1174651095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 HUNTER ST",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322655",
            "telephone_number": "505-753-4123",
            "fax_number": "505-753-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 HUNTER ST",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322655",
            "telephone_number": "505-753-4123",
            "fax_number": "505-753-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "RICHARD",
        "middle_name": "BRANNEN",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X05752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E7436",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Lande, PH.D.
• Lana R. Landrum, PH.D.
• John G Lang, PH.D.
• Kim Lanthier
• Valerie Nicole Lapolla, D.D.S.
• Dana Larsen
• Las Cumbres Community Services
• Las Cumbres Community Services
• LCT Inc
• Nathan Leach, LPCC

• Social Worker in Espanola, NM
• Providers in Espanola, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.