NPIMap

Organization Active NPI

The Community Lighthouse

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1427456458
Registry record updated Oct 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M08822 Issued in NM
Legal business name
THE COMMUNITY LIGHTHOUSE
Practice address
3301 Candelaria Rd NE Ste B
Albuquerque, NM 87107-1965
Phone
(505) 273-6300
Fax
(505) 265-7860
NPI assigned
Dec 8, 2014
Last updated
Oct 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2017

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

Authorized official

Name
Maria Mendez
Title
Office Manager
Phone
(505) 273-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M08822 NM Primary

Addresses

Primary practice location

3301 Candelaria Rd NE Ste B
Albuquerque, NM 87107-1965

Mailing address

3301 Candelaria Rd NE Ste B
Albuquerque, NM 87107-1965
Phone (505) 273-6300

National Provider Directory

National Provider Directory
Tax ID family
The Community Lighthouse3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3301 Candelaria Rd NE
Ste B
Albuquerque, NM 87107
Phone (505) 273-6300

Practitioners & affiliated clinicians

Practitioners 155

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 155

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509148800000",
    "number": "1427456458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 CANDELARIA RD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071965",
            "telephone_number": "505-273-6300",
            "fax_number": "505-265-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 CANDELARIA RD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071965",
            "telephone_number": "505-273-6300",
            "fax_number": "505-265-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNITY LIGHTHOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2017-10-28",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-273-6300"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M08822",
            "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 28, 2017; 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.