Kimmberly Viscaino, LBSW, LPN

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

B-11042 Issued in NM

Practice address

700 E. 3Rd St
Portales, NM 88130-6025

Phone

(575) 356-7045

Fax

(575) 359-0826

NPI assigned

Feb 28, 2022

Last updated

Feb 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1689320731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E. 3RD ST",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "88130",
            "telephone_number": "575-356-7045",
            "fax_number": "575-359-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E. 3RD ST",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306025",
            "telephone_number": "575-356-7045",
            "fax_number": "575-359-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISCAINO",
        "first_name": "KIMMBERLY",
        "name_prefix": "Mrs.",
        "credential": "LBSW, LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "B-11042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kviscaino@portalesschools.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "700 E. 3rd St",
            "city": "Portales",
            "state": "NM",
            "country_code": "US",
            "postal_code": "881306025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• School Social Worker in Portales, NM
• Providers in Portales, NM by specialty
• School Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.