Sandia Family Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SANDIA FAMILY THERAPY

Practice address

971 Recreo CT
Los Lunas, NM 87031-7467

Phone

(505) 913-1473

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Maurcio Lopez-Marquez, LCSW

Title

Owner/President

Phone

(505) 913-1473

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mauricio Lopez-Marquez, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1447675095
  NPD (past)

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1295457414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 RECREO CT",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317467",
            "telephone_number": "505-913-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 RECREO CT",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317467",
            "telephone_number": "505-913-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIA FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-MARQUEZ",
        "authorized_official_first_name": "MAURCIO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "505-913-1473",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Dolores Sanchez, LPCC
• Mark Roque Sanchez, M.D.,
• Samantha Desiree Sanchez, MD
• Teles Joseph Sanchez, PHARMD.
• Sandhill Center LLC
• Cynthia Sandoval
• Erin Sandoval
• Julie Sandoval, PSR
• Sydney Dale Sandoval
• Ellen Margareta Santistevan, LMT

• Clinical Social Worker in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.