Active NPI
Desert Magnolia Therapy
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1205544095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- DESERT MAGNOLIA THERAPY
- Practice address
- 9509 Presley PL NE
Albuquerque, NM 87111-3401 - Phone
- (505) 449-7691
- Fax
- (505) 672-7769
- NPI assigned
- Nov 9, 2022
- Last updated
- Nov 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alesia Crossland, LCSW
- Title
- Owner
- Phone
- (505) 449-7691
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
9509 Presley PL NE
Albuquerque, NM 87111-3401
Mailing address
PO Box 45681
Rio Rancho, NM 87174-5681
Phone (505) 226-1960
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Social Worker
- Albuquerque, NM
- NPI 1821501073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667952000000",
"number": "1205544095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45681",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871745681",
"telephone_number": "505-226-1960",
"fax_number": "505-672-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9509 PRESLEY PL NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113401",
"telephone_number": "505-449-7691",
"fax_number": "505-672-7769"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT MAGNOLIA THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-09",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A",
"authorized_official_last_name": "CROSSLAND",
"authorized_official_first_name": "ALESIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-449-7691",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
- Desert Bloom Telepsych Services LLC
- Desert Health Endocrinology
- Desert Health, LLC
- Desert Island Services (Southwest Surgical Assisting)
- Desert Lily Psychiatry
- Desert Medical Transportation LLC
- Desert Motions Chiropractic
- Desert Mountain Eyecare LLC
- Desert Oasis Acupuncture LLC
- Desert Oasis Recovery
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.