Shemot Psychosocial Interventions

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

SHEMOT PSYCHOSOCIAL INTERVENTIONS

Doing business as

4Corners Anti-Trafficking Multistate Crisis Intervention Network Task

Practice address

1956 Hollyhock Cir
Farmington, NM 87401-2425

Phone

(505) 471-3000

NPI assigned

Jul 3, 2024

Last updated

Jul 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

La Tonya Delilah Westrick, CPSW, CPSNPI 1932411386

Title

Ceo/President

Phone

(505) 471-3000

Specialties & licenses 3

Addresses

Other names 4

• 4Corners Anti-Trafficking Multistate Crisis Intervention Network Task Doing business as
• Exodus Recovery Ministries Other name
• God & Jesus Point of View TV Podcast Other name
• Shemot Psychosocial Interventions For Youth & Families Other name

Locations

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.

• Latonya D Westrick

  • Community Health Worker
  • Santa Fe, NM
  • NPI 1932411386
  NPD Authorized official

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1306682851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1956 HOLLYHOCK CIR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012425",
            "telephone_number": "505-471-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1956 HOLLYHOCK CIR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012425",
            "telephone_number": "505-471-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E 30th St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874019411",
            "country_code": "US",
            "telephone_number": "505-471-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHEMOT PSYCHOSOCIAL INTERVENTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "WESTRICK",
        "authorized_official_first_name": "LA TONYA",
        "authorized_official_middle_name": "DELILAH",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "505-471-3000",
        "authorized_official_credential": "CPSW, CPS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4Corners Anti-Trafficking Multistate Crisis Intervention Network Task",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Exodus Recovery Ministries",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "God & Jesus Point of View TV Podcast",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Shemot Psychosocial Interventions For Youth & Families",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Douglas Eugene Shaffer, PAC
• Mahnoor Shah
• Kristen Joy Shanks, CNM
• Katrina G Sharp, RN
• Matthew Shell, DPT
• Robert Edward Sherrill Jr., PHD
• Heather Sherwin, M.D.
• Shiloh Home Health Inc (Shiloh Home Health)
• Gerald Shorty, LMHC
• James Shorty

• Peer Specialist in Farmington, NM
• Providers in Farmington, NM by specialty
• Peer Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.