Individual provider Active NPI

Asilee Ferris

  • Clinical Social Worker
  • San Miguel, NM
National Provider Identifier
1376325845
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2023-0925 Issued in NM
Practice address
177 De Rodriguez LN
San Miguel, NM 88058
Phone
(575) 323-1315
NPI assigned
Oct 18, 2023
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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-2023-0925 NM Primary

Addresses

Primary practice location

177 De Rodriguez LN
San Miguel, NM 88058

Mailing address

PO Box 130
Mesilla Park, NM 88047-0130
Phone (575) 294-5724

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
I20260616002508 NM Practitioner - Clinical Social Worker 7911479407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13 Seclusion CT
Sandia Park, NM 87047-9532

2200 Holiday Ave
TRLR 215
Las Cruces, NM 88005-4135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2023-0925NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ferris Therapy Group, LLC Clinical Current Accepting new patients
Tessa's Therapies Inc Single Specialty PastSince Oct 22, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1376325845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "MESILLA PARK",
            "state": "NM",
            "postal_code": "880470130",
            "telephone_number": "575-294-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 DE RODRIGUEZ LN",
            "city": "SAN MIGUEL",
            "state": "NM",
            "postal_code": "88058",
            "telephone_number": "575-323-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "ASILEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-0925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Miguel, NM

Sources for this page

Verify at the official NPI Registry.