John Marion Carrillo

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

6801 Jefferson St NE Ste 301
Albuquerque, NM 87109-7390

Phone

(505) 705-1701

Fax

(505) 212-1253

NPI assigned

Aug 14, 2023

Last updated

Feb 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Clinical Assessment Group, LLC

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1063862241
  NPD
• Integrition, LLC

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1013716034
  NPD

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1467235515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 TIJERAS AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022912",
            "telephone_number": "505-818-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 JEFFERSON ST NE STE 301",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871097390",
            "telephone_number": "505-705-1701",
            "fax_number": "505-212-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "JOHN",
        "middle_name": "MARION",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-14",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elishia Carrillo, CPSW
• Eva Rose Asaan Carrillo, CNM, FNP-C
• Hector Ruben Carrillo, LMHC
• Isai Carrillo
• Jessica Carrillo
• JT Carrillo, LISW
• Kristin N Carrillo, LMHC
• Kristine Carrillo, LISW
• Kyle Andrew Weiss Carrillo, CNP
• Marcus R Carrillo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.