Individual provider Active NPI

Angela Romero, LMSW

  • Clinical Social Worker
  • Taos, NM
National Provider Identifier
1316597370
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
310 Camino de la Placita
Taos, NM 87571-5951
Phone
(575) 737-6115
NPI assigned
Sep 12, 2019
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
School Social Worker 1041S0200X M09247 NM

Addresses

Primary practice location

310 Camino de la Placita
Taos, NM 87571-5951

Mailing address

PO Box 706
Arroyo Seco, NM 87514-0706
Phone (575) 741-1492

Other practice location 1

537 Hondo Seco Rd
Arroyo Seco, NM 87514
Phone (575) 741-1492

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL DMZ

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
M09247NMMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Individual Therapy LLC Clinical CurrentSince Sep 15, 2024 Accepting new patients
Taos Muncipal Schools PastSince Sep 15, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1316597370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 706",
            "city": "ARROYO SECO",
            "state": "NM",
            "postal_code": "875140706",
            "telephone_number": "575-741-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CAMINO DE LA PLACITA",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715951",
            "telephone_number": "575-737-6115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "537 Hondo Seco Rd",
            "address_purpose": "LOCATION",
            "city": "Arroyo Seco",
            "state": "NM",
            "postal_code": "87514",
            "country_code": "US",
            "telephone_number": "575-741-1492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "ANGELA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "M09247",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DMZ",
            "affiliation": "N",
            "address_1": "310 Camino De La Placita",
            "city": "Taos",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875715951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.