Individual provider Active NPI

Tina Marie Sanchez, LISW

  • Social Worker
  • Santa Fe, NM
National Provider Identifier
1689090425
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I-08246 Issued in NM
Practice address
1909 Chamisa St
Santa Fe, NM 87505-3439
Phone
(505) 750-4684
NPI assigned
Mar 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 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 I-08246 NM Primary

Addresses

Primary practice location

1909 Chamisa St
Santa Fe, NM 87505-3439

Mailing address

1909 Chamisa St
Santa Fe, NM 87505-3439

Other practice location 1

2325 Cerrillos Rd
Santa Fe, NM 87505-3373
Phone (505) 438-0010 ext. 18

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 15, 2025 through Oct 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I-08246NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tina Sanchez Psychotherapy LLC CurrentSince Sep 25, 2022 Accepting new patients
The Life Link PastSince May 25, 2022 Accepting new patients

Organizations & group practices 2

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": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1689090425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 CHAMISA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 CHAMISA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053439",
            "telephone_number": "505-750-4684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2325 Cerrillos Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875053373",
            "country_code": "US",
            "telephone_number": "505-438-0010 x18",
            "fax_number": "505-438-6011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "I-08246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.