Individual provider Active NPI

Rhiannon Lozuaway, LCSW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1639650153
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2024-0510 Issued in NM
Practice address
2055 S Pacheco St Ste 500
Santa Fe, NM 87505-3994
Phone
(505) 702-8112
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NH
Clinical Social Worker 1041C0700X SWB-2024-0510 NM Primary

Addresses

Primary practice location

2055 S Pacheco St Ste 500
Santa Fe, NM 87505-3994

Mailing address

2055 S Pacheco St Ste 500
Santa Fe, NM 87505-3994
Phone (505) 702-8112

Other identifiers 2

IdentifierTypeStateIssuer
3078870MedicaidNH
28189060MedicaidNM

Other names 1

  • Rhiannon Duke Former name

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

LicenseStateTypeSpecialty
SWB-2024-0510NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Mental Health Center, Inc. Past Accepting new patients
Trail Ahead Therapy, LLC Social Worker PastSince Sep 24, 2023 Accepting new patients

Organizations & group practices 2

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": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1639650153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 S PACHECO ST STE 500",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053994",
            "telephone_number": "505-702-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 S PACHECO ST STE 500",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053994",
            "telephone_number": "505-702-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZUAWAY",
        "first_name": "RHIANNON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NH",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2024-0510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078870",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28189060",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHIANNON",
            "last_name": "DUKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.