Serina Monique Apodaca-Peckham

Primary specialty

Social WorkerTaxonomy code 104100000X

License

M-10574 Issued in NM

Practice address

3821 W College LN
Hobbs, NM 88242-9126

Phone

(505) 342-5489

NPI assigned

Apr 8, 2016

Last updated

May 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Families & Youth, Inc

  dba Fyi

  • Community/Behavioral Health Agency
  • Las Cruces, NM
  • NPI 1003031436
  Medicare reassignment NPD
• Guidance Center of Lea County, Inc

  • Community/Behavioral Health Agency
  • Hobbs, NM
  • NPI 1740211333
  NPD (past)

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1194189829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 W COLLEGE LN",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882429126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 W COLLEGE LN",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882429126",
            "telephone_number": "505-342-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APODACA-PECKHAM",
        "first_name": "SERINA",
        "middle_name": "MONIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-10574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgar Anchondo Villagran
• John Kirk Anderson, LPCC
• Lise Anderson, COTA/L
• Daisy Antwi
• Apex Build
• Apple Chiropractic Center of Hobbs (Vaughn R Ditto)
• Janiayh Aranda
• Emily Archer
• Taylor Archuleta
• Tiffany Arenivas

• Social Worker in Hobbs, NM
• Providers in Hobbs, 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 May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.