Active NPI
Isidro Vigil, LCSW
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1548677818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-10540
- Practice address
- 8205 Spain Rd NE Ste 106
Albuquerque, NM 87109-3155 - Phone
- (505) 856-0300
- NPI assigned
- Jul 17, 2014
- Last updated
- Aug 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | X-10416 | NM | |
| Clinical Social Worker | 1041C0700X | C-10540 | NM | Primary |
Addresses
Primary practice location
8205 Spain Rd NE Ste 106
Albuquerque, NM 87109-3155
Mailing address
69 Horseshoe Loop
Edgewood, NM 87015-9710
Phone (505) 440-7499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X-10416 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1548677818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 HORSESHOE LOOP",
"city": "EDGEWOOD",
"state": "NM",
"postal_code": "870159710",
"telephone_number": "505-440-7499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8205 SPAIN RD NE STE 106",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093155",
"telephone_number": "505-856-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGIL",
"first_name": "ISIDRO",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-17",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "X-10416",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-10540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.