Individual provider Active NPI

Miriam Livingston, LCSW

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1487053120
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66284 Issued in TX
Practice address
210 W Las Cruces Ave
Las Cruces, NM 88005-1804
Phone
(915) 494-6335
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X C-10103 NM
Clinical Social Worker 1041C0700X 66284 TX Primary

Addresses

Primary practice location

210 W Las Cruces Ave
Las Cruces, NM 88005-1804

Mailing address

849 Sunset Park Dr
El Paso, TX 79932-1839
Phone (915) 494-6335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150303000500 NM Practitioner - Clinical Social Worker 0042536476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 W Las Cruces Ave
Las Cruces, NM 88005-1804
Phone (915) 494-6335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-10103NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Path Counseling LLC Clinical CurrentSince Aug 1, 2020 Accepting new patients
Counseling Las Cruces, LLC CurrentSince Jan 1, 2019 Accepting new patients

Locations

210 W Las Cruces Ave
Las Cruces, NM 88005
Phone (575) 249-0390

530 N Church St
Las Cruces, NM 88001
Phone (575) 526-9878

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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1487053120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 SUNSET PARK DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321839",
            "telephone_number": "915-494-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W LAS CRUCES AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880051804",
            "telephone_number": "915-494-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "MIRIAM",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10103",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.