Individual provider Active NPI

Catherine Yankuskie, LCSW

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1629509096
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-11123 Issued in NM
Practice address
575 S Alameda Blvd
Las Cruces, NM 88005-2818
Phone
(575) 449-4000
Fax
(575) 449-4021
NPI assigned
Mar 27, 2017
Last updated
Sep 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M-10084 NM
Social Worker 104100000X X-09983 NM
Clinical Social Worker 1041C0700X C-11123 NM Primary

Addresses

Primary practice location

575 S Alameda Blvd
Las Cruces, NM 88005-2818

Mailing address

2701 E Yandell Dr
El Paso, TX 79903-3726
Phone (915) 562-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M-10084NMMDSocial Worker
X-09983NMMDSocial Worker
63627TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Heart & Soul of NM, Inc Clinical CurrentSince May 16, 2022 Accepting new patients
El Paso Child Guidance Center Inc CurrentSince Aug 1, 2021 Accepting new patients
El Paso Child Guidance Center Clinical PastSince Aug 1, 2021 Accepting new patients

Locations

838 W Didier Ave
Belen, NM 87002
Phone (505) 312-0040

2701 E Yandell Dr
El Paso, TX 79903
Phone (915) 562-1999

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/epcgc/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1629509096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033726",
            "telephone_number": "915-562-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S ALAMEDA BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052818",
            "telephone_number": "575-449-4000",
            "fax_number": "575-449-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKUSKIE",
        "first_name": "CATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-10084",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X-09983",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-11123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.