Loretta A. Roybal, LM SW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

M-06037 Issued in NM

Practice address

1335 Gusdorf Road, BLDG. E
Taos, NM 87571

Phone

(575) 758-0670

Fax

(575) 751-3557

NPI assigned

Feb 24, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Human Resource Development Associates, Inc.

  • Mental Health Counselor
  • Taos, NM
  • NPI 1720206113
  NPD
• Rapha Provider Agency LLC

  • Clinical Social Worker
  • Taos, NM
  • NPI 1588200984
  NPD

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1508512922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PINE RIDGE DRIVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "87701",
            "telephone_number": "505-426-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 GUSDORF ROAD, BLDG. E",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "575-758-0670",
            "fax_number": "575-751-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYBAL",
        "first_name": "LORETTA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LM  SW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-06037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marnie Rose
• Michele L. Rossman, CASE MANAGER
• Roswell Home Medical Inc
• Teresa Rowe
• Christina Lucia Roybal
• Tammy C Roybal, CSW
• Rural Radiology Associates Taos
• Stephanie Ryan
• Helen Rynaski
• Hannah Salander

• Clinical Social Worker in Taos, NM
• Providers in Taos, 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 24, 2022; 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.