Southwest Wellness & Life Enhancement Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

989979 Issued in CO

Legal business name

SOUTHWEST WELLNESS & LIFE ENHANCEMENT CENTER

Practice address

503 N Main St
Suite 326
Pueblo, CO 81003-3130

Phone

(719) 561-9084

Fax

(719) 564-5605

NPI assigned

Jun 12, 2013

Last updated

Jun 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adeline D Armijo, LCSWNPI 1275744096

Title

Owner/Provider

Phone

(719) 561-9084

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adeline Deborah Armijo, LCSW

  • Clinical Social Worker
  • Pueblo, CO
  • NPI 1275744096
  NPD (past) Authorized official
• David Benson, PH.D.

  • Clinical Psychologist
  • Pueblo, CO
  • NPI 1891125407
  NPD (past)

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1689012569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ENCINO PL",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052948",
            "telephone_number": "719-561-9084",
            "fax_number": "719-564-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N MAIN ST",
            "address_2": "SUITE 326",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033130",
            "telephone_number": "719-561-9084",
            "fax_number": "719-564-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST WELLNESS & LIFE ENHANCEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "ARMIJO",
        "authorized_official_first_name": "ADELINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "719-561-9084",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "989979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.