Individual provider Active NPI

Lisa Danner, LMSW

  • Social Worker
  • Santa Fe, NM
National Provider Identifier
1477029916
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M-10437 Issued in NM
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

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
M-10437NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Danner Family Therapy LLC Current Accepting new patients
Earth Spirit Awakenings LLC PastSince Dec 24, 2016 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.

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.

Verify at the official NPI Registry.