Individual provider Active NPI

Diana Jeremias

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1366960601
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2023-0423 Issued in NM
Practice address
2801 Missouri Ave Suite 8 Las Cruces, NM
Las Cruces, NM 88011
Phone
(575) 254-2515
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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 SWB-2023-0423 NM Primary

Addresses

Primary practice location

2801 Missouri Ave Suite 8 Las Cruces, NM
Las Cruces, NM 88011

Mailing address

PO Box 13913
Las Cruces, NM 88013-3913
Phone (575) 254-2515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230614002637 NM Practitioner - Clinical Social Worker 9537527197 Reassigns benefits to 1 organization
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2023-0423NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Lizette Jeremias Clinical CurrentSince Apr 14, 2024 Accepting new patients
Ben Archer Health Center CurrentSince Jun 1, 2023 Accepting new patients
Ben Archer Health Center Current Accepting new patients
Ben Archer Health Center CurrentSince Jun 1, 2023 Accepting new patients

Locations

2801 Missouri Ave
Ste 8
Las Cruces, NM 88011
Phone (575) 242-1100

1998 N Motel Blvd
Las Cruces, NM 88007
Phone (575) 541-5941

1600 Thorpe Rd
Las Cruces, NM 88012
Phone (505) 267-3088

1960 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-7662

Organizations & group practices 4

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1366960601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13913",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880133913",
            "telephone_number": "575-254-2515",
            "fax_number": "575-267-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MISSOURI AVE SUITE 8 LAS CRUCES, NM",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-254-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEREMIAS",
        "first_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-0423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.