Latisha Roybal, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

X11098 Issued in NM

Practice address

600 1St St NW Ste 200
Albuquerque, NM 87102-2311

Phone

(575) 550-7355

NPI assigned

Oct 22, 2019

Last updated

Oct 22, 2019By 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1548803547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 1ST ST NW STE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022311",
            "telephone_number": "505-224-9124",
            "fax_number": "505-247-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 1ST ST NW STE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022311",
            "telephone_number": "575-550-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYBAL",
        "first_name": "LATISHA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "X-11098",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X11098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Latishar@anewawakening.com",
            "affiliation": "N",
            "address_1": "600 1st St NW Ste 200",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871022311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elaine Agnes Roybal, LMT
• Gabrielle Janel Roybal
• Helene Roybal
• Joshua Reginald Roybal, LCSW
• Jude Roybal, BAB
• Monique Susan Roybal
• Sasha Alexis Roybal, PA-C
• Sherita Roybal
• Stephanie D Roybal, BSW
• Melanie Royce, MD, PHD

• Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.