Active NPI
Mickie Lynn Stimpson, LBSW
- School Social Worker
- Deming, NM
National Provider Identifier
1669504189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- B05276
- Practice address
- 501 W Florida St
Deming, NM 88030-6302 - Phone
- (505) 546-0427
- Fax
- (505) 546-6587
- NPI assigned
- Mar 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | B05276 | NM | Primary |
Addresses
Primary practice location
501 W Florida St
Deming, NM 88030-6302
Mailing address
1112 S Copper St
Deming, NM 88030-5006
Phone (505) 546-8783
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 |
|---|---|---|---|
| B05276 | NM | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669504189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 S COPPER ST",
"city": "DEMING",
"state": "NM",
"postal_code": "880305006",
"telephone_number": "505-546-8783",
"fax_number": "505-546-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W FLORIDA ST",
"city": "DEMING",
"state": "NM",
"postal_code": "880306302",
"telephone_number": "505-546-0427",
"fax_number": "505-546-6587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIMPSON",
"first_name": "MICKIE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LBSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": "B05276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deming, 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.