Active NPI
Angel F Gallegos, LMSW
- Clinical Social Worker
- Las Vegas, NM
National Provider Identifier
1477799153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- X-06392
- Practice address
- 1000 Airport Rd
Las Vegas, NM 87701-9415 - Phone
- (505) 454-9730
- NPI assigned
- Dec 30, 2008
- 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 | X-06392 | NM | Primary |
Addresses
Primary practice location
1000 Airport Rd
Las Vegas, NM 87701-9415
Mailing address
HC 67 Box 50
Rd B45B
Anton Chico, NM 87711
Phone (505) 427-1276
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 |
|---|---|---|---|
| X-06392 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230595200000",
"number": "1477799153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 67 BOX 50",
"address_2": "RD B45B",
"city": "ANTON CHICO",
"state": "NM",
"postal_code": "87711",
"telephone_number": "505-427-1276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 AIRPORT RD",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877019415",
"telephone_number": "505-454-9730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS",
"first_name": "ANGEL",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-30",
"last_updated": "2008-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "X-06392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.