Active NPI
Luisa Antonia Rodriguez, LMSW, LSSW
- Social Worker
- Ruidoso, NM
National Provider Identifier
1316631054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-09516
- Practice address
- 2810 Sudderth Dr Ste 210
Ruidoso, NM 88345-6307 - Phone
- (575) 973-7193
- NPI assigned
- Jun 6, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | M-09516 | NM | Primary |
Addresses
Primary practice location
2810 Sudderth Dr Ste 210
Ruidoso, NM 88345-6307
Mailing address
124 Maple Dr
Ruidoso, NM 88345-6415
Phone (575) 973-7193
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 |
|---|---|---|---|
| M-09516 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1316631054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 MAPLE DR",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "883456415",
"telephone_number": "575-973-7193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 SUDDERTH DR STE 210",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "883456307",
"telephone_number": "575-973-7193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "LUISA",
"middle_name": "ANTONIA",
"credential": "LMSW, LSSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-06",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-09516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ruidoso, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.