Oasis Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

OASIS THERAPY, LLC

Practice address

1520 NM-94
Mora, NM 87732

Phone

(505) 617-1180

NPI assigned

May 21, 2021

Last updated

May 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deidra Cordova, LCSWNPI 1851806525

Title

Clinical Social Worker

Phone

(505) 617-1180

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deidra Marie Cordova, LMSW

  • Clinical Social Worker
  • Las Vegas, NM
  • NPI 1851806525
  NPD Authorized official

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1588239644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1051",
            "city": "MORA",
            "state": "NM",
            "postal_code": "877321051",
            "telephone_number": "505-617-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 NM-94",
            "city": "MORA",
            "state": "NM",
            "postal_code": "87732",
            "telephone_number": "505-617-1180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2534 Ridge Runner Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NM",
            "postal_code": "877014971",
            "country_code": "US",
            "telephone_number": "505-617-1180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OASIS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "DEIDRA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "505-617-1180",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851806525",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04458532",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.oasistherapynm.com",
            "affiliation": "N",
            "address_1": "1520 NM-94",
            "city": "MORA",
            "state": "NM",
            "country_code": "US",
            "postal_code": "87732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mora Valley Community Health Services Inc
• Mora Valley Community Health Services, Inc (Mora Valley Community Health Services, Inc Cardid de San Antonio Home)
• Mora Valley Community Health Services, Inc.
• Mora Valley Community Health Services, Inc.
• Northeast Regional Education Cooperative
• Sasankoti Mohan Ravi Prakash, DMD
• Teresa Katherine Elaine Smith de Cherif, M.D., M.I.A.
• Bianca Valdez, RDH
• Vicki K Stiles LPCC
• Susan Ernestine Vigil, LADAC

• Clinical Social Worker in Mora, NM
• Providers in Mora, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.