NPIMap

Organization Active NPI

Casa Fortaleza

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1225499296
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I05918 Issued in NM
Legal business name
CASA FORTALEZA
Practice address
2425 Alamo Ave SE
Albuquerque, NM 87106-3234
Phone
(505) 485-4826
NPI assigned
Mar 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Elizabeth Wolff Francis, LISW
Title
Owner
Phone
(505) 485-4826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X I05918 NM Primary

Addresses

Primary practice location

2425 Alamo Ave SE
Albuquerque, NM 87106-3234

Mailing address

PO Box 36594
Albuquerque, NM 87176-6594
Phone (505) 485-4826

National Provider Directory

National Provider Directory

Locations

2425 Alamo Ave SE
Albuquerque, NM 87106
Phone (505) 485-4826

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1225499296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36594",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871766594",
            "telephone_number": "505-485-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 ALAMO AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063234",
            "telephone_number": "505-485-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA FORTALEZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "WOLFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-485-4826",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NM",
            "license": "I05918",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.