Individual provider Active NPI

Flora Natalia Soto-Endicott, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1396129466
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
91436 Issued in CA
Practice address
2825 Candelaria Rd NW
Albuquerque, NM 87107-2914
Phone
(505) 550-8626
NPI assigned
Jul 17, 2015
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X 91436 CA Primary
Clinical Social Worker 1041C0700X 11828 NM

Addresses

Primary practice location

2825 Candelaria Rd NW
Albuquerque, NM 87107-2914

Mailing address

2825 Candelaria Rd NW
Albuquerque, NM 87107-2914
Phone (505) 550-8626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200403001214 CA Order and Referring Only - Clinical Social Worker 9436588993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11828NMMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1396129466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 CANDELARIA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072914",
            "telephone_number": "505-550-8626",
            "fax_number": "510-535-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 CANDELARIA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072914",
            "telephone_number": "505-550-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO-ENDICOTT",
        "first_name": "FLORA",
        "middle_name": "NATALIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "91436",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "11828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.