Karl Richard Ponchalek, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I05319 Issued in NM

Practice address

1 Univ of NM
Msc06 Umn Student Health Center
Albuquerque, NM 87131-0001

Phone

(505) 277-3136

Fax

(505) 277-5668

NPI assigned

Feb 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588791180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIV OF NM",
            "address_2": "MSC06 UMN STUDENT HEALTH CENTER",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-277-3136",
            "fax_number": "505-277-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIV OF NM",
            "address_2": "MSC06 UMN STUDENT HEALTH CENTER",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-277-3136",
            "fax_number": "505-277-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCHALEK",
        "first_name": "KARL",
        "middle_name": "RICHARD",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "I05319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Ponce Orellana, M.D.
• Dawn Ponce Perez
• Christine Ponce
• Justine Elise Ponce, RDH, MS
• Liana Ponce, MD
• Cristin Elizabeth Ponder, LMHC
• Holly C Ponder
• Vanessa Pontaza Perez
• Jeff Wayne Pontes, LPCC
• Shelby Ponzio-Fay

• 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 Jul 8, 2007; 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.