JT Carrillo, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-04891 Issued in NM

Practice address

2132A Central Ave SE # 249
Albuquerque, NM 87106-4083

Phone

(505) 259-7769

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Rio Grande Counseling

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1528162617
  NPD
• Rio Grande Counseling & Guidance Services, PA

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1477507069
  NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336173301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132A CENTRAL AVE SE # 249",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064083",
            "telephone_number": "505-259-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132A CENTRAL AVE SE # 249",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064083",
            "telephone_number": "505-259-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "JT",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-04891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Rose Asaan Carrillo, CNM, FNP-C
• Hector Ruben Carrillo, LMHC
• Isai Carrillo
• Jessica Carrillo
• John Marion Carrillo
• Kristin N Carrillo, LMHC
• Kristine Carrillo, LISW
• Kyle Andrew Weiss Carrillo, CNP
• Marcus R Carrillo
• Mary Carrillo

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.