NPIMap

Organization Active NPI

Meraki Well-Being LLC

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1578025110
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MERAKI WELL-BEING LLC
Practice address
2001 Rolling Ridge Dr SW
Albuquerque, NM 87121-5357
Phone
(505) 859-6378
NPI assigned
Apr 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Authorized official

Name
Michele M Donovan, LCSW
Title
Owner
Phone
(505) 859-6378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2001 Rolling Ridge Dr SW
Albuquerque, NM 87121-5357

Mailing address

2001 Rolling Ridge Dr SW
Albuquerque, NM 87121-5357
Phone (505) 859-6378

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1578025110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 ROLLING RIDGE DR SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871215357",
            "telephone_number": "505-859-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ROLLING RIDGE DR SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871215357",
            "telephone_number": "505-859-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERAKI WELL-BEING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-859-6378",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Apr 2, 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.