Individual provider Active NPI

Denise Gallegos

  • School Social Worker
  • Albuquerque, NM
National Provider Identifier
1306246160
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
X-08655 Issued in NM
Practice address
6400 Uptown Blvd NE
Ste 360W
Albuquerque, NM 87110-4204
Phone
(505) 855-9805
Fax
(505) 848-9468
NPI assigned
Aug 29, 2014
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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 X-08655 NM Primary

Addresses

Primary practice location

6400 Uptown Blvd NE
Ste 360W
Albuquerque, NM 87110-4204

Mailing address

6400 Uptown Blvd NE
Ste 360W
Albuquerque, NM 87110-4204
Phone (505) 855-9805

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
X-08655NMMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1306246160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 UPTOWN BLVD NE",
            "address_2": "STE 360W",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104204",
            "telephone_number": "505-855-9805",
            "fax_number": "505-848-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 UPTOWN BLVD NE",
            "address_2": "STE 360W",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104204",
            "telephone_number": "505-855-9805",
            "fax_number": "505-848-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "X-08655",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 15, 2019; 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.