Tashina B Nez

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

SWB-2024-0615 Issued in NM

Practice address

3401 E 30TH St Ste a
Farmington, NM 87402-8805

Phone

(505) 599-8617

Fax

(855) 290-2205

NPI assigned

Jun 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Childhaven, Inc

  • Foster Care Agency
  • Farmington, NM
  • NPI 1144303074
  NPD (past)

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1285049478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 E 30TH ST STE A",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028805",
            "telephone_number": "505-599-8617",
            "fax_number": "855-290-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 E 30TH ST STE A",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028805",
            "telephone_number": "505-599-8617",
            "fax_number": "855-290-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEZ",
        "first_name": "TASHINA",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "SWB-2024-0615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Mexico Psychological Services, P.C.
• New Mexico Treatment Services LLC
• Chasitity Beulah Nez
• Dana Nez
• Leighann Nez, CPSW
• Brittany Kailin Nichols, RDH
• Kenneth R Nichols, LCSW
• Sue Ann Nichols, RN
• Ena Marie Niemand
• Meghan Nipper, P.A.

• School Social Worker in Farmington, NM
• Providers in Farmington, NM by specialty
• School Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.