Individual provider Active NPI

Lucinda Leonora Padilla, LMSW

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1396979464
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M-10141 Issued in NM
Practice address
1528 Five Points Rd SW
Albuquerque, NM 87105-3179
Phone
(505) 242-6919
NPI assigned
May 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 5526 NM
Social Worker 104100000X M-10141 NM Primary

Addresses

Primary practice location

1528 Five Points Rd SW
Albuquerque, NM 87105-3179

Mailing address

3909 Juan Tabo Blvd NE Ste 4
Albuquerque, NM 87111-3973
Phone (505) 332-8979

Other practice location 1

2930 Madison St NE
Albuquerque, NM 87110-3016
Phone (505) 205-7857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M-10141NMMDSocial Worker
5526NMMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Milagros Enterprises,LLC Massage Therapist Past Accepting new patients

Organizations & group practices 1

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": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1396979464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 JUAN TABO BLVD NE STE 4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113973",
            "telephone_number": "505-332-8979",
            "fax_number": "505-332-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 FIVE POINTS RD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871053179",
            "telephone_number": "505-242-6919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2930 Madison St NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871103016",
            "country_code": "US",
            "telephone_number": "505-205-7857",
            "fax_number": "505-205-7857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "LUCINDA",
        "middle_name": "LEONORA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "5526",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-10141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.