Individual provider Active NPI

Victoria L. Sakshaug, LISW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1366775728
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-08585 Issued in NM
Practice address
3405 Pan American Fwy NE
Albuquerque, NM 87107-4786
Phone
(505) 222-0311
Fax
(505) 222-0365
NPI assigned
Sep 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-08585 NM Primary

Addresses

Primary practice location

3405 Pan American Fwy NE
Albuquerque, NM 87107-4786

Mailing address

3405 Pan American Fwy NE
Albuquerque, NM 87107-4786
Phone (505) 222-0311

Other identifiers 1

IdentifierTypeStateIssuer
I-05858OtherNMSTATE OF NEW MEXICO BOARD OF SOCIAL WORK

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-08585NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
NM Department of Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1366775728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 PAN AMERICAN FWY NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074786",
            "telephone_number": "505-222-0311",
            "fax_number": "505-222-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 PAN AMERICAN FWY NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074786",
            "telephone_number": "505-222-0311",
            "fax_number": "505-222-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKSHAUG",
        "first_name": "VICTORIA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-08585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEW MEXICO BOARD OF SOCIAL WORK",
            "identifier": "I-05858",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • 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.