Angela Ellen Jane Shepard, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

C-11660 Issued in NM

Practice address

2900 Louisiana Blvd NE Ste J7
Albuquerque, NM 87110-3532

Phone

(505) 804-1360

NPI assigned

Jan 22, 2019

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Turning the Mind, LLC

  • Counselor
  • Albuquerque, NM
  • NPI 1104538065
  NPD Authorized official
• Perfectly Imperfect

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albuquerque, NM
  • NPI 1003582461
  NPD (past)
• Perfectly Imperfect

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1720486772
  NPD (past)

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1285198457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LOUISIANA BLVD NE STE J7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103532",
            "telephone_number": "505-804-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LOUISIANA BLVD NE STE J7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103532",
            "telephone_number": "505-804-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "ANGELA",
        "middle_name": "ELLEN JANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "C-11660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Shelton, MS, LAT, ATC
• Anthony Lee Shemayme
• Peter Shenk Koontz, MSN, RN, PMHNP-BC
• Maithili Harinanda Shenoy, MD
• Doris Shenuski-Zetocha, SLP
• Eddie Dupree Shepherd
• Erroll Shepherd Jr.
• Jennifer Mary Shepherd, D.C.
• Kanna Shepherd, LOTR
• Megan Shepherd, LPCC

• Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.