New Mexico VA Health Care System

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0159 Issued in NM

Legal business name

NEW MEXICO VA HEALTH CARE SYSTEM

Practice address

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153

Phone

(505) 265-1711

NPI assigned

Sep 11, 2006

Last updated

Aug 22, 2020By 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

Mr. Manuel E. Romo, MSW

Title

Social Worker

Phone

(505) 265-1711

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598869521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5741 OSUNA RD NE",
            "address_2": "APT. 1050",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092567",
            "telephone_number": "505-830-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SAN PEDRO DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085153",
            "telephone_number": "505-265-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO VA HEALTH CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROMO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "505-265-1711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-0159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK",
            "identifier": "I-0159",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Mexico Therapeutic Specialists LLC
• New Mexico Trauma Recovery Center for Community Violence
• New Mexico United Psych LLC
• New Mexico Urgent Care Walk-in Clinic Juan Tabo LLC (New Mexico Urgent Care- Juan Tabo)
• New Mexico Urgent Care Walk-in Clinic LLC (New Mexico Urgent Care Walk-In Clinic)
• New Mexico VA Healthcare System
• New Mexico VA Healthcare Systems
• New Mexico Veterans Administration Healthcare System
• New Mexico Veterans Integration Centers
• New Mexico Vision Care

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, 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 Aug 22, 2020; 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.