Individual provider Active NPI

Deona Jo Foust, LMSW

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1417555103
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M-11285 Issued in NM
Practice address
3150 Carlisle Blvd NE Ste 110
Albuquerque, NM 87110-1681
Phone
(505) 633-8173
Fax
(505) 214-5071
NPI assigned
Oct 14, 2020
Last updated
Oct 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M-11285 NM Primary

Addresses

Primary practice location

3150 Carlisle Blvd NE Ste 110
Albuquerque, NM 87110-1681

Mailing address

PO Box 45681
Rio Rancho, NM 87174-5681
Phone (505) 226-1960

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-11285NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Umoja Behavioral Health PC CurrentSince Oct 19, 2020 Accepting new patients
Turquoise Harbor Family Counseling Social Worker PastSince Nov 12, 2023 Accepting new patients

Locations

3150 Carlisle Blvd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 633-8173

Organizations & group practices 2

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": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1417555103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45681",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871745681",
            "telephone_number": "505-226-1960",
            "fax_number": "505-672-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CARLISLE BLVD NE STE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101681",
            "telephone_number": "505-633-8173",
            "fax_number": "505-214-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUST",
        "first_name": "DEONA",
        "middle_name": "JO",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-11285",
            "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 Oct 14, 2020; 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.