Individual provider Active NPI

Jessica Cauthorne, LMSW

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1619344322
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
M-06671 Issued in NM
Practice address
2971 Long Bow Loop
Las Cruces, NM 88011-5218
Phone
(575) 993-8713
NPI assigned
Aug 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X M-06671 NM Primary

Addresses

Primary practice location

2971 Long Bow Loop
Las Cruces, NM 88011-5218

Mailing address

2971 Long Bow Loop
Las Cruces, NM 88011-5218
Phone (575) 993-8713

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180112000267 NM Practitioner - Clinical Social Worker 9739448036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breena S. Tafoya and Associates, LLCGroup PAC ID 3476600800, 2 clinicians

Practice addresses (Care Compare)

715 E Idaho
2B a New Hope Threapy
Las Cruces, NM 88001-4701
Phone (575) 666-9585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M-06671NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Breena S. Tafoya & Associates, LLC CurrentSince Dec 12, 2017 Accepting new patients

Locations

715 E Idaho Ave
Ste 2A
Las Cruces, NM 88001
Phone (575) 666-9585

715 E Idaho Ave
Ste 2E
Las Cruces, NM 88001
Phone (575) 556-9585

715 E Idaho Ave
Ste 2B
Las Cruces, NM 88001
Phone (575) 323-0039

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1619344322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 LONG BOW LOOP",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115218",
            "telephone_number": "575-993-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 LONG BOW LOOP",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115218",
            "telephone_number": "575-993-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUTHORNE",
        "first_name": "JESSICA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-06671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.