Leticia Guadalupe Lindsay, CSW

Individual provider Active NPI Community Health Worker · Lordsburg, NM

NPI 1508628934 · NPPES record last updated Jan 30, 2024

Key facts

NPI
1508628934
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
603 Hadeco Dr Ste B
Lordsburg, NM 88045-1813
Phone
(575) 542-9070
NPI assigned
Jan 30, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Supporting People in Need Past
since Feb 4, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NM Yes

Addresses

Primary practice location

603 Hadeco Dr Ste B
Lordsburg, NM 88045-1813

Mailing address

PO Box 325
Silver City, NM 88062-0325
Phone (575) 966-6131

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 30, 2024.

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1508628934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880620325",
            "telephone_number": "575-966-6131",
            "fax_number": "575-956-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 HADECO DR STE B",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "880451813",
            "telephone_number": "575-542-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSAY",
        "first_name": "LETICIA",
        "middle_name": "GUADALUPE",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lordsburg, NM

All providers in Lordsburg, NM · Community Health Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.