Edwin Vargas, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

M-09073 Issued in NM

Practice address

4200 Meadowlark LN SE Ste 4a
Rio Rancho, NM 87124-1050

Phone

(505) 218-6383

Fax

(505) 636-6338

NPI assigned

Apr 26, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1336703156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GRANDE BLVD SE STE B",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241695",
            "telephone_number": "505-218-6383",
            "fax_number": "505-636-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 MEADOWLARK LN SE STE 4A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241050",
            "telephone_number": "505-218-6383",
            "fax_number": "505-636-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "EDWIN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-26",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-09073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05879337",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Braught Counseling, LLC
• Jacobus G Vanzelst, PT
• Adrienne Varbel, LMT
• Kaeli Varela, BMS
• Cinthia Vargas Arteaga
• Elizabeth Vargas, RN
• Jonah Abraham Varley
• Martha Vasquez Hermosillo
• Memerie Vasquez
• Sandra Vasquez

• Clinical Social Worker in Rio Rancho, NM
• Providers in Rio Rancho, 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 Aug 16, 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.

Verify at the official NPI Registry.