Premise to Promise LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PREMISE TO PROMISE LLC

Practice address

419 Aliso Dr NE
Albuquerque, NM 87108-1006

Phone

(718) 490-9150

NPI assigned

Jun 2, 2023

Organization subpart

No

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

Authorized official

Name

Erin PadulaNPI 1518268226

Title

Member

Phone

(718) 490-9150

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin C. Padula, LISW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1518268226
  NPD Authorized official

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1417641556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 ALISO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081006",
            "telephone_number": "718-490-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 ALISO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081006",
            "telephone_number": "718-490-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE TO PROMISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "PADULA",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-490-9150"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thomas Prendergast, D.O.
• Jennifer F Prentiss, RPH
• Ronald Edward Prenzel, DMD
• Presbytarian Hospital
• Presbyterian Ear Institute

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.