Organization Active NPI

Corazon Training and Consulting Inc

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1215201991
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1840 Issued in NM
Legal business name
CORAZON TRAINING AND CONSULTING INC
Practice address
1401 Avenida Manana NE
Albuquerque, NM 87110-5748
Phone
(505) 235-2429
Fax
(505) 254-2294
NPI assigned
Feb 28, 2012
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Pauline Lucero, MA, LMSW, LPCCNPI 1174667687
Title
Director/Owner
Phone
(505) 235-2429

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1840 NM Primary
Clinical Social Worker 1041C0700X M-0827 NM

Addresses

Primary practice location

1401 Avenida Manana NE
Albuquerque, NM 87110-5748

Mailing address

1401 Avenida Manana NE
Albuquerque, NM 87110-5748
Phone (505) 235-2429

Other identifiers 1

IdentifierTypeStateIssuer
79128025MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240220002841 NM Part B Supplier - Clinic/Group Practice 0244688083 Receives reassigned benefits from 2 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

4300 Carlisle Blvd NE
Albuquerque, NM 87107
Phone (505) 235-2429

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1215201991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVENIDA MANANA NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105748",
            "telephone_number": "505-235-2429",
            "fax_number": "505-254-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVENIDA MANANA NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105748",
            "telephone_number": "505-235-2429",
            "fax_number": "505-254-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAZON TRAINING AND CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "505-235-2429",
        "authorized_official_credential": "MA, LMSW, LPCC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "1840",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-0827",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79128025",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.