NPIMap

Organization Active NPI

DLW Forensic Community Navigation Specialist, LLC

  • Community Health Worker
  • Albuquerque, NM
National Provider Identifier
1609796408
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
DLW FORENSIC COMMUNITY NAVIGATION SPECIALIST, LLC
Practice address
3803 Aspen Ave NE Apt 25
Albuquerque, NM 87110-5651
Phone
(505) 238-4257
Fax
(505) 238-4257
NPI assigned
Jul 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Demetre Wallace, CCHW,CCSS
Title
Owner
Phone
(505) 238-4257

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3803 Aspen Ave NE Apt 25
Albuquerque, NM 87110-5651

Mailing address

3803 Aspen Ave NE Apt 25
Albuquerque, NM 87110-5651
Phone (505) 238-4257

National Provider Directory

National Provider Directory
Tax ID family
DLW Forensic Community Navigation Specialist LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1609796408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 ASPEN AVE NE APT 25",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105651",
            "telephone_number": "505-238-4257",
            "fax_number": "505-238-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 ASPEN AVE NE APT 25",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105651",
            "telephone_number": "505-238-4257",
            "fax_number": "505-238-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLW FORENSIC COMMUNITY NAVIGATION SPECIALIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "DEMETRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-238-4257",
        "authorized_official_credential": "CCHW,CCSS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.