Individual provider Active NPI

Linda A Ionta, LMSW

  • Social Worker
  • Gallup, NM
National Provider Identifier
1679220693
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M-0817 Issued in NM
Practice address
1611 Linda Dr
Gallup, NM 87301-5619
Phone
(505) 870-6514
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M-0817 NM Primary

Addresses

Primary practice location

1611 Linda Dr
Gallup, NM 87301-5619

Mailing address

1611 Linda Dr
Gallup, NM 87301-5619
Phone (505) 870-6514

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Gallup Direct
Other URL Gallup Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218000013 NM Practitioner - Clinical Social Worker 5395272181 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Open Skies Healthcare CurrentSince Oct 30, 2024 Accepting new patients

Locations

2700 N Central Ave
Phoenix, AZ 85004

303 Roma Ave NW
Ste 200
Albuquerque, NM 87102
Phone (505) 620-7349

Organizations & group practices 1

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": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1679220693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 LINDA DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015619",
            "telephone_number": "505-870-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 LINDA DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015619",
            "telephone_number": "505-870-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IONTA",
        "first_name": "LINDA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-0817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Gallup",
            "affiliation": "N",
            "endpointDescription": "desktop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1611 Linda Dr",
            "city": "Gallup",
            "state": "NM",
            "country_code": "US",
            "postal_code": "873015619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Gallup",
            "affiliation": "N",
            "endpointDescription": "desktop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1611 Linda Dr",
            "city": "Gallup",
            "state": "NM",
            "country_code": "US",
            "postal_code": "873015619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

Verify at the official NPI Registry.