Individual provider Active NPI

Aria Ponciroli, LISW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1659431476
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-2365 Issued in NM
Practice address
1919 5TH St
Suite O
Santa Fe, NM 87505-5402
Phone
(505) 982-1067
Fax
(505) 424-7575
NPI assigned
Dec 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 I-2365 NM Primary

Addresses

Primary practice location

1919 5TH St
Suite O
Santa Fe, NM 87505-5402

Mailing address

1919 5TH St
Suite O
Santa Fe, NM 87505-5402
Phone (505) 982-1067

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
I-2365NMMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659431476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 5TH ST",
            "address_2": "SUITE O",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055402",
            "telephone_number": "505-982-1067",
            "fax_number": "505-424-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 5TH ST",
            "address_2": "SUITE O",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055402",
            "telephone_number": "505-982-1067",
            "fax_number": "505-424-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCIROLI",
        "first_name": "ARIA",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-2365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.