Marlene Joy Velarde, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I-05109 Issued in NM

Practice address

109 Seneca Drive
Dulce, NM 87528

Phone

(505) 759-3162

Fax

(505) 759-3588

NPI assigned

Aug 28, 2007

Last updated

Aug 28, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Marlene Joy Vigil 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.

• Jicarilla Apache Nation

  dba Jicarilla Behavioral Health

  • Community/Behavioral Health Agency
  • Dulce, NM
  • NPI 1508051061
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1376737825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "DULCE",
            "state": "NM",
            "postal_code": "875280546",
            "telephone_number": "505-759-3162",
            "fax_number": "505-759-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SENECA DRIVE",
            "city": "DULCE",
            "state": "NM",
            "postal_code": "87528",
            "telephone_number": "505-759-3162",
            "fax_number": "505-759-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELARDE",
        "first_name": "MARLENE",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "I-05109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENE",
            "last_name": "VIGIL",
            "middle_name": "JOY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gaylia Dianne Pride, RN
• Marcia Ann Sahmaunt
• Robert Patrick Sewell, DMD
• John E Shumack, PHARMACIST
• Melissa Marie Trujillo
• Susan Ann Velarde
• Inna Voinich, PHARM D
• Nancy Jane Watts, R.N.
• Mitchell R. Wilkinson, DDS
• Kristine S Williams, RD LD

• Social Worker in Dulce, NM
• Providers in Dulce, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.