Active NPI
Karen Diane Weber, LMSW
- School Social Worker
- Truth Or Consequences, NM
National Provider Identifier
1215058896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 300963
- Practice address
- 180 N Date St
Truth Or Consequences, NM 87901-2824 - Phone
- (505) 894-8383
- Fax
- (505) 894-0606
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 300963 | NM | Primary |
Addresses
Primary practice location
180 N Date St
Truth Or Consequences, NM 87901-2824
Mailing address
PO Box 7
Caballo, NM 87931-0007
Phone (505) 743-3575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05256208 | Medicaid | NM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300963 | NM | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1215058896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7",
"city": "CABALLO",
"state": "NM",
"postal_code": "879310007",
"telephone_number": "505-743-3575",
"fax_number": "505-743-3579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 N DATE ST",
"city": "TRUTH OR CONSEQUENCES",
"state": "NM",
"postal_code": "879012824",
"telephone_number": "505-894-8383",
"fax_number": "505-894-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "KAREN",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": "300963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05256208",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Truth Or Consequences, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.