Active NPI
Anna Blauw
- School Social Worker
- T Or C, NM
National Provider Identifier
1407300262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- M-08947
- Practice address
- 405 N Date St Ste 8
T Or C, NM 87901-2378 - Phone
- (575) 894-7589
- NPI assigned
- Aug 10, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | M-08947 | NM | Primary |
Addresses
Primary practice location
405 N Date St Ste 8
T Or C, NM 87901-2378
Mailing address
405 N Date St Ste 8
T Or C, NM 87901-2378
Phone (575) 894-7589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M-08947 | Other | NM | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| M-08947 | NM | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Regional Education Cooperative | 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.
-
- Local Education Agency (LEA)
- Deming, NM
- NPI 1114081858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1407300262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 N DATE ST STE 8",
"city": "T OR C",
"state": "NM",
"postal_code": "879012378",
"telephone_number": "575-894-7589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 N DATE ST STE 8",
"city": "T OR C",
"state": "NM",
"postal_code": "879012378",
"telephone_number": "575-894-7589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAUW",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-10",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": "M-08947",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "M-08947",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in T Or C, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.