Active NPI
Catherine Yankuskie, LCSW
- Clinical Social Worker
- Las Cruces, NM
National Provider Identifier
1629509096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-11123
- 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, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-10084 | NM | MD | Social Worker |
| X-09983 | NM | MD | Social Worker |
| 63627 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart & Soul of NM, Inc | Clinical | Current | Accepting new patients |
| El Paso Child Guidance Center Inc | Current | Accepting new patients | |
| El Paso Child Guidance Center | Clinical | Past | 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
- 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.
-
- Case Management Agency
- El Paso, TX
- NPI 1962519710
-
- Clinical Social Worker
- El Paso, TX
- NPI 1164755807
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.