Active NPI
Sandra Iveth Smith
- Social Worker
- Albuquerque, NM
National Provider Identifier
1619736642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SWB-2024-0007
- Practice address
- 3401 Candelaria Rd NE Ste D
Albuquerque, NM 87107-1946 - Phone
- (505) 804-0855
- NPI assigned
- Mar 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SWB-2024-0007 | NM | Primary |
Addresses
Primary practice location
3401 Candelaria Rd NE Ste D
Albuquerque, NM 87107-1946
Mailing address
3401 Candelaria Rd NE Ste B
Albuquerque, NM 87107-1946
Phone (505) 804-0855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SWB-2024-0007 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1619736642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 CANDELARIA RD NE STE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871071946",
"telephone_number": "505-804-0855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 CANDELARIA RD NE STE D",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871071946",
"telephone_number": "505-804-0855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SANDRA",
"middle_name": "IVETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-13",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "SWB-2024-0007",
"primary": true
}
],
"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 Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.