NPIMap

Organization Active NPI

Casa de Mi Alma Wellness Center, LLC

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1366807323
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-07976 Issued in NM
Legal business name
CASA DE MI ALMA WELLNESS CENTER, LLC
Practice address
920 N Alameda Blvd
Las Cruces, NM 88005-2291
Phone
(575) 993-8143
NPI assigned
Dec 17, 2015
Last updated
Dec 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Mrs. Alma De la O, LISW
Title
Owner
Phone
(575) 993-8143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-07976 NM Primary

Addresses

Primary practice location

920 N Alameda Blvd
Las Cruces, NM 88005-2291

Mailing address

920 N Alameda Blvd
Las Cruces, NM 88005-2291
Phone (575) 993-8143

National Provider Directory

National Provider Directory

Locations

920 N Alameda Blvd
Ste 1
Las Cruces, NM 88005
Phone (575) 993-8143

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1366807323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N ALAMEDA BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052291",
            "telephone_number": "575-993-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N ALAMEDA BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052291",
            "telephone_number": "575-993-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA DE MI ALMA WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "DE LA O",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-993-8143",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-07976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.