Nicole Mishoe, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

M-10486 Issued in NM

Practice address

146 Quincy St NE
Albuquerque, NM 87108-1257

Phone

(505) 550-1306

Fax

(844) 434-8055

NPI assigned

Jan 16, 2019

Sex

Female

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

Practice roles

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.

• Perfectly Imperfect

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albuquerque, NM
  • NPI 1003582461
  NPD (past)
• Perfectly Imperfect

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1720486772
  NPD (past)

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1609340223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 QUINCY ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081257",
            "telephone_number": "505-550-1306",
            "fax_number": "844-434-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 QUINCY ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081257",
            "telephone_number": "505-550-1306",
            "fax_number": "844-434-8055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 Quincy St NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871081257",
            "country_code": "US",
            "telephone_number": "505-550-1306",
            "fax_number": "844-434-8055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISHOE",
        "first_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-10486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neda Mirmesdagh
• Sara Monis Mirza, PHARMD
• Brian George Miscall, MD
• Stephanie Mischell, M.D.
• Alexander Childs Misenheimer, PA (ASCP)
• Richard J Miskimins, MD
• Patience Misner
• Venessa Misquez, BSW MSW
• Misra Medical LLC
• Sheila R Misra, CNP

• 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 Jan 16, 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.