Theodore Ray Nieto, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

M-07852 Issued in NM

Practice address

1320 S Solano Dr
Las Cruces, NM 88001-3758

Phone

(575) 522-4004

Fax

(575) 522-9017

NPI assigned

Aug 24, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1184857252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 S SOLANO DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013758",
            "telephone_number": "575-522-4004",
            "fax_number": "575-522-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S SOLANO DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013758",
            "telephone_number": "575-522-4004",
            "fax_number": "575-522-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETO",
        "first_name": "THEODORE",
        "middle_name": "RAY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-24",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X-07410",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-07852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Niels
• Cindy L. Nielsen, LPCC, LIC, PROF CMHC
• Lisa Sanchez Nielsen, MA., CCC-SLP
• Brian L Nieto
• Felicia Nieto
• Thomas Nieuwenhuis
• Nicholas Nillo, M.D.
• Ananya Nishi
• Billy Charles Nix, LMHC
• Katherine Nixon, D.O.

• Clinical Social Worker in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.