Active NPI
Lisa Marie Garza, LMSW
- Clinical Social Worker
- Las Cruces, NM
National Provider Identifier
1205400173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- M-11698
- Practice address
- 3553 Evy LN
Las Cruces, NM 88012-8356 - Phone
- (575) 621-6945
- Fax
- (575) 449-4157
- NPI assigned
- May 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | M-11698 | NM | Primary |
Addresses
Primary practice location
3553 Evy LN
Las Cruces, NM 88012-8356
Mailing address
3553 Evy LN
Las Cruces, NM 88012-8356
Phone (575) 621-6945
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | garzalisa172@gmail.com | ||
| Other URL | therapynotes.com |
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-11698 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621123200000",
"number": "1205400173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3553 EVY LN",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880128356",
"telephone_number": "575-621-6945",
"fax_number": "575-449-4157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3553 EVY LN",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880128356",
"telephone_number": "575-621-6945",
"fax_number": "575-449-4157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZA",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-16",
"last_updated": "2021-05-16",
"certification_date": "2021-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "M-11698",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "garzalisa172@gmail.com",
"affiliation": "N",
"address_1": "3553 Evy Ln",
"city": "Las Cruces",
"state": "NM",
"country_code": "US",
"postal_code": "880128356",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "therapynotes.com",
"affiliation": "N",
"address_1": "3553 Evy Ln",
"city": "Las Cruces",
"state": "NM",
"country_code": "US",
"postal_code": "880128356",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.