Active NPI
Alicia Renee Hayba, LISW, IMH-III
- Clinical Social Worker
- Las Cruces, NM
National Provider Identifier
1447523840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-06861
- Practice address
- 3050 N Roadrunner Pkwy
Ste a,
Las Cruces, NM 88011-0833 - Phone
- (575) 523-2288
- NPI assigned
- Feb 15, 2012
- Last updated
- Feb 16, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-06861 | NM | Primary |
Addresses
Primary practice location
3050 N Roadrunner Pkwy
Ste a,
Las Cruces, NM 88011-0833
Mailing address
P.O. Box 1090
Las Cruces, NM 88004
Phone (575) 523-2288
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
| License | State | Type | Specialty |
|---|---|---|---|
| I-06861 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1447523840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1090",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88004",
"telephone_number": "575-523-2288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 N ROADRUNNER PKWY",
"address_2": "STE A,",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880110833",
"telephone_number": "575-523-2288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYBA",
"first_name": "ALICIA",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "LISW, IMH-III",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-15",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-06861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.