Elizabeth Pearce

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-06945 Issued in NM

Practice address

2400 Wellesley Dr NE
Albuquerque, NM 87107-1812

Phone

(505) 507-0297

NPI assigned

Feb 10, 2014

Last updated

Feb 10, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Zia Community Cares, LLC

  • Clinical Psychologist
  • Albuquerque, NM
  • NPI 1831710490
  Medicare reassignment NPD
• La Familia, Inc.

  dba La Familia-Namaste

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1083771760
  NPD (past)

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1508280611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "SANDIA PARK",
            "state": "NM",
            "postal_code": "870471014",
            "telephone_number": "505-507-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WELLESLEY DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071812",
            "telephone_number": "505-507-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauntelle Peake
• Peanut Butter & Jelly Family Services
• Peanut Butter and Jelly Family Services
• Daniel M. Pearce, R.PH.
• Delaney Pearce, MSOT, OTR/L
• Helen Marie Pearce, ED D
• Jamie Michelle Pearce, M.S., LMFT
• Kailey Visoski Pearce, MSBE
• Savannah Alekzandria Pearson Ayala, MD
• Dalton Pearson

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, 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 10, 2014; 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.