Individual provider Active NPI

Eliza Skye, LCSW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1427677343
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2023-0228 Issued in NM
Practice address
1524 Bishops Lodge Road
Santa Fe, NM 87506
Phone
(505) 983-6158
NPI assigned
Apr 10, 2020
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWB-2023-0228 NM Primary
Community Health Worker 172V00000X NM

Addresses

Primary practice location

1524 Bishops Lodge Road
Santa Fe, NM 87506

Mailing address

PO Box 449
Tesuque, NM 87574-0449
Phone (505) 983-6158

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
I20240325003804 NM Practitioner - Clinical Social Worker 6406266055 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Skye Mesa LLC Current Accepting new patients
Santa Fe Mountain Center Inc CurrentSince Mar 1, 2024 Accepting new patients

Locations

1000 N Paseo de Onate
Espanola, NM 87532
Phone (505) 231-0652

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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1427677343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "TESUQUE",
            "state": "NM",
            "postal_code": "875740449",
            "telephone_number": "505-983-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 BISHOPS LODGE ROAD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87506",
            "telephone_number": "505-983-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKYE",
        "first_name": "ELIZA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-0228",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.