Justin Dean Nutt, LSCSW, LCSW, LCSW,-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-10855 Issued in NM

Practice address

321 Commerce Way
Clovis, NM 88101-4750

Phone

(575) 935-6262

NPI assigned

Mar 25, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Sunwest Behavioral Associates PA

  • Psychiatry Physician
  • El Paso, TX
  • NPI 1053578021
  Medicare reassignment NPD
• Nurstead Consulting Services, LLC

  • Community/Behavioral Health Agency
  • Clovis, NM
  • NPI 1043921869
  NPD Authorized official

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1487996740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 COMMERCE WAY",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014750",
            "telephone_number": "575-935-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 COMMERCE WAY",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014750",
            "telephone_number": "575-935-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTT",
        "first_name": "JUSTIN",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "LSCSW, LCSW, LCSW,-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "8564",
            "primary": false
        },
        {
            "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-10855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Nicole Nunez, APRN-CNP
• Nursing Mama LLC
• Nurstead Consulting Services, LLC
• Verna Nussbaumer
• Nutrition Therapy
• Julie Anna O'Quinn, DDS
• Oak Medical Practice, P.C.
• Obhg New Mexico PC
• Samantha Yaritza Ochoa
• Laci Ohare

• Clinical Social Worker in Clovis, NM
• Providers in Clovis, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.