Active NPI
Shelley Jean Pajak, LMSW
- Social Worker
- Farmington, NM
National Provider Identifier
1255409678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M04980
- Practice address
- 501 Airport Dr Ste 253
Farmington, NM 87401-2646 - Phone
- (505) 325-2778
- Fax
- (505) 325-6171
- NPI assigned
- Dec 1, 2006
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | M04980 | NM | Primary |
Addresses
Primary practice location
501 Airport Dr Ste 253
Farmington, NM 87401-2646
Mailing address
2011 Troy King Rd # SP.433
Farmington, NM 87401-3158
Phone (505) 325-0935
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M04980 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255409678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 TROY KING RD # SP.433",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874013158",
"telephone_number": "505-325-0935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 AIRPORT DR STE 253",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874012646",
"telephone_number": "505-325-2778",
"fax_number": "505-325-6171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAJAK",
"first_name": "SHELLEY",
"middle_name": "JEAN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M04980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.