Alexis Taylor-Jackson, LMSW
Individual provider Active NPI Social Worker · Anthony, NM
NPI 1336024033 · NPPES record last updated Aug 11, 2025
Key facts
- NPI
- 1336024033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- SWB-2025-0867 (NM)
- Practice address
- PO Box 2671
Anthony, NM 88021-2671 - Phone
- (575) 882-5100
- Fax
- (575) 882-1151
- NPI assigned
- Aug 11, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SWB-2025-0867 | NM | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SWB-2025-0867 | NM | Yes |
Addresses
Primary practice location
PO Box 2671
Anthony, NM 88021-2671
Mailing address
PO Box 2671
Anthony, NM 88021-2671
Phone (575) 882-5100
Other providers in Anthony, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.