Individual provider Active NPI

Leona V Griego, SW

  • School Social Worker
  • Albuquerque, NM
National Provider Identifier
1285852921
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
I 3639 Issued in NM
Practice address
900 Atlantic Ave SW
Dolores Gonzales Es
Albuquerque, NM 87102-4014
Phone
(505) 764-2020
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X I 3639 NM Primary

Addresses

Primary practice location

900 Atlantic Ave SW
Dolores Gonzales Es
Albuquerque, NM 87102-4014

Mailing address

900 Atlantic Ave SW
Dolores Gonzales Es
Albuquerque, NM 87102-4014
Phone (505) 764-2020

Other identifiers 1

IdentifierTypeStateIssuer
B 8635MedicaidNM

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

LicenseStateTypeSpecialty
I 3639NMMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285852921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ATLANTIC AVE SW",
            "address_2": "DOLORES GONZALES ES",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871024014",
            "telephone_number": "505-764-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ATLANTIC AVE SW",
            "address_2": "DOLORES GONZALES ES",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871024014",
            "telephone_number": "505-764-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIEGO",
        "first_name": "LEONA",
        "middle_name": "V",
        "credential": "SW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "I 3639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B 8635",
            "state": "NM"
        }
    ],
    "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 Jul 9, 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.

Verify at the official NPI Registry.