Active NPI
Pamela P Trujillo, LBSW
- Social Worker
- Espanola, NM
National Provider Identifier
1578897583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- B-07080
- Practice address
- 111 N. Railroad Avenue
Espanola, NM 87532-2627 - Phone
- (505) 753-7218
- Fax
- (505) 753-5815
- NPI assigned
- Sep 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | B-07080 | NM | Primary |
Addresses
Primary practice location
111 N. Railroad Avenue
Espanola, NM 87532-2627
Mailing address
111 N Railroad Ave
Espanola, NM 87532-2627
Phone (505) 753-7218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B-07080 | NM | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Centro Family Health | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Espanola, NM
- NPI 1780689034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253664000000",
"number": "1578897583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N RAILROAD AVE",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322627",
"telephone_number": "505-753-7218",
"fax_number": "505-753-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N. RAILROAD AVENUE",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322627",
"telephone_number": "505-753-7218",
"fax_number": "505-753-5815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "PAMELA",
"middle_name": "P",
"credential": "LBSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2009-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "B-07080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.