Individual provider Active NPI

Janice M. Alvillar, LISW

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1235355504
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-4324 Issued in NM
Practice address
1320 S Solano Dr
Las Cruces, NM 88001-3758
Phone
(505) 556-1656
NPI assigned
Apr 17, 2007
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-4324 NM Primary

Addresses

Primary practice location

1320 S Solano Dr
Las Cruces, NM 88001-3758

Mailing address

3100 Oak St
Las Cruces, NM 88005-3425
Phone (575) 993-5225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170104000522 NM Practitioner - Clinical Social Worker 6608157797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amistad Family Services IncGroup PAC ID 4183867609, 3 clinicians

Practice addresses (Care Compare)

3100 Oak St
Las Cruces, NM 88005-3769
Phone (575) 523-2288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-4324NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amistad Family Services Inc CurrentSince Dec 4, 2016 Accepting new patients

Locations

3100 Oak St
Las Cruces, NM 88005
Phone (575) 323-3354

390 Calle de Alegra
Ste C
Las Cruces, NM 88005
Phone (575) 222-4588

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1235355504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 OAK ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053425",
            "telephone_number": "575-993-5225",
            "fax_number": "575-652-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S SOLANO DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013758",
            "telephone_number": "505-556-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVILLAR",
        "first_name": "JANICE",
        "middle_name": "M.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-4324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.