Patricia A. Mourant, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-3614 Issued in NM

Practice address

6501 Wyoming Blvd NE
BLDG. C, Suite 105
Albuquerque, NM 87109-3932

Phone

(505) 821-9700

Fax

(505) 821-9646

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619068129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 FIELD DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122833",
            "telephone_number": "505-328-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 WYOMING BLVD NE",
            "address_2": "BLDG. C, SUITE 105",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093932",
            "telephone_number": "505-821-9700",
            "fax_number": "505-821-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURANT",
        "first_name": "PATRICIA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-3614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Star Chiropractic
• Mountain View Family Medicine LLC
• Mountain View Therapy Services, LLC
• Dominica Mountain, OTR/L
• Steven Philippe Moura, MD
• Nahnsejay Mouwon, NP
• Movement and Performance of New Mexico
• Movement Psychotherapy Services LLC
• Deborah Louise Moy, O.D.
• Rosita Moya-Herrera, LMSW

• 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.