Individual provider Active NPI

Hazel Jean Riggs, LISW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1679691950
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-06181 Issued in NM
Practice address
1330 San Pedro Dr NE
#201-B
Albuquerque, NM 87110-6744
Phone
(505) 260-9912
Fax
(505) 260-9934
NPI assigned
Mar 26, 2007
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-06181 NM Primary

Addresses

Primary practice location

1330 San Pedro Dr NE
#201-B
Albuquerque, NM 87110-6744

Mailing address

6117 Parktree PL NE
Albuquerque, NM 87111-7202
Phone (505) 822-1622

Other identifiers 1

IdentifierTypeStateIssuer
10020781OtherNMLOVELACE

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-06181NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A New Day Inc. Past Accepting new patients

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679691950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6117 PARKTREE PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117202",
            "telephone_number": "505-822-1622",
            "fax_number": "505-260-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SAN PEDRO DR NE",
            "address_2": "#201-B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106744",
            "telephone_number": "505-260-9912",
            "fax_number": "505-260-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGS",
        "first_name": "HAZEL",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE",
            "identifier": "10020781",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, 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.