Active NPI
Alicia J Sedillo
- School Social Worker
- Los Lunas, NM
National Provider Identifier
1306197165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- X-07797
- Practice address
- 3500 Lone Tree St SW
Los Lunas, NM 87031-6288 - Phone
- (505) 948-6224
- NPI assigned
- Sep 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | X-07797 | NM | Primary |
Addresses
Primary practice location
3500 Lone Tree St SW
Los Lunas, NM 87031-6288
Mailing address
3500 Lone Tree SW
Los Lunas, NM 87031
Phone (505) 948-6224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X-07797 | Other | NM | STATE OF NEW MEXICO |
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 |
|---|---|---|---|
| X-07797 | NM | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349136000000",
"number": "1306197165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 LONE TREE SW",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "87031",
"telephone_number": "505-948-6224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 LONE TREE ST SW",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870316288",
"telephone_number": "505-948-6224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDILLO",
"first_name": "ALICIA",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-19",
"last_updated": "2012-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": "X-07797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NEW MEXICO",
"identifier": "X-07797",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.