Individual provider Active NPI

Mary L Farrell, LCSW

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1417407370
Registry record updated Oct 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-10549 Issued in NM
Practice address
2801 Missouri Ave Ste 8
Las Cruces, NM 88011-5061
Phone
(575) 242-1100
Fax
(575) 993-5014
NPI assigned
Oct 4, 2016
Last updated
Oct 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2023

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 C-10549 NM Primary

Addresses

Primary practice location

2801 Missouri Ave Ste 8
Las Cruces, NM 88011-5061

Mailing address

3001 E Springs Rd
Las Cruces, NM 88011-5295
Phone (575) 242-1100

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
I20240227000144 NM Practitioner - Clinical Social Worker 1658716949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2801 Missouri Ave
Suite 8
Las Cruces, NM 88011-5061
Phone (575) 242-1100

3001 E Springs Rd
Las Cruces, NM 88011-5295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Creek Counseling CurrentSince Feb 9, 2024 Accepting new patients

Locations

2801 Missouri Ave
Ste 8
Las Cruces, NM 88011
Phone (575) 242-1100

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, 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": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697241600000",
    "number": "1417407370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 E SPRINGS RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115295",
            "telephone_number": "575-242-1100",
            "fax_number": "575-993-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MISSOURI AVE STE 8",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115061",
            "telephone_number": "575-242-1100",
            "fax_number": "575-993-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2023-10-14",
        "certification_date": "2023-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.