Octavia Rogers Clampet, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

C-04974 Issued in NM

Practice address

53 Bridal Falls Lane
Tularosa, NM 88352

Phone

(575) 430-1174

Fax

(575) 208-7255

NPI assigned

Sep 22, 2006

Last updated

Aug 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1306945449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 BRIDAL FALLS LANE",
            "city": "TULAROSA",
            "state": "NM",
            "postal_code": "88352",
            "telephone_number": "575-430-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 BRIDAL FALLS LANE",
            "city": "TULAROSA",
            "state": "NM",
            "postal_code": "88352",
            "telephone_number": "575-430-1174",
            "fax_number": "575-208-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAMPET",
        "first_name": "OCTAVIA",
        "middle_name": "ROGERS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "40484",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "C-04974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Rae Abercrombie, MA, LPCC, LADAC
• Miranda Dawn Antonio, A.A.
• Annette Susan Buck, LPTA
• Martin A Cook Sr., LMSW
• Jackie Cope, LMSW
• Dillard B Irby (Professional Pharmacy)
• Rhiannon Eisler
• Margaret Suzanne Fowler, PHD

• Social Worker in Tularosa, NM
• Providers in Tularosa, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.