Active NPI
Lisa Danner, LMSW
- Social Worker
- Santa Fe, NM
National Provider Identifier
1477029916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-10437
- Practice address
- 826 Camino de Monte Rey Ste A6
Santa Fe, NM 87505-3961 - Phone
- (505) 669-3156
- Fax
- (505) 554-3435
- NPI assigned
- Oct 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | M-10437 | NM | Primary |
Addresses
Primary practice location
826 Camino de Monte Rey Ste A6
Santa Fe, NM 87505-3961
Mailing address
223 N Guadalupe St # 119
Santa Fe, NM 87501-1868
Phone (505) 699-3156
Other practice location 1
4001 Office Court Dr Ste 102
Santa Fe, NM 87507-4903
Phone (505) 983-8225
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 |
|---|---|---|---|
| M-10437 | NM | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danner Family Therapy LLC | Current | Accepting new patients | |
| Earth Spirit Awakenings LLC | Past | Accepting new patients |
Locations
223 N Guadalupe St
Santa Fe, NM 87501
Phone (505) 246-6910
826 Camino de Monte Rey
Ste A6
Santa Fe, NM 87505
Phone (505) 669-3156
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Santa Fe, NM
- NPI 1992380257
-
- Community/Behavioral Health Agency
- Santa Fe, NM
- NPI 1447490800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1477029916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 N GUADALUPE ST # 119",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875011868",
"telephone_number": "505-699-3156",
"fax_number": "505-554-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 CAMINO DE MONTE REY STE A6",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875053961",
"telephone_number": "505-669-3156",
"fax_number": "505-554-3435"
}
],
"practiceLocations": [
{
"address_1": "4001 Office Court Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Santa Fe",
"state": "NM",
"postal_code": "875074903",
"country_code": "US",
"telephone_number": "505-983-8225",
"fax_number": "505-395-7406",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANNER",
"first_name": "LISA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-23",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-10437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.