Renee Christine Heacox-Winborn, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-06900 Issued in NM

Practice address

415 W Hemlock St
Deming, NM 88030-3622

Phone

(575) 694-5478

NPI assigned

Mar 18, 2007

Last updated

Sep 22, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Renee Christine Heacox Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Winborn Wellness & Counseling

  • Community/Behavioral Health Agency
  • Deming, NM
  • NPI 1710125067
  NPD (past)

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1366566242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S TIN ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880303645",
            "telephone_number": "575-694-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W HEMLOCK ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880303622",
            "telephone_number": "575-694-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEACOX-WINBORN",
        "first_name": "RENEE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-18",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "HEACOX",
            "middle_name": "CHRISTINE",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl Granillo, CNP
• Luis D Gutierrez Pulido, DDS
• Angie Le'Alice Hagan, CPM, CNP
• Alonni Rae Harrell
• Ryan Edward Harrington
• Naomi Marisol Herrera
• Troy Craig Hill, LMFT
• Hillrise Pharmacy Deming LLC
• Robyn R Horcasitas, M.A., CCC-SLP
• Abiodun Howells

• Clinical Social Worker in Deming, NM
• Providers in Deming, 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 Sep 22, 2009; 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.