Individual provider Active NPI

Maxine Cordova, LMSW

  • Social Worker
  • Rio Rancho, NM
National Provider Identifier
1689463242
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1740 Grande Blvd SE Ste B5
Rio Rancho, NM 87124-1799
Phone
(505) 336-0238
NPI assigned
May 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 Primary

Addresses

Primary practice location

1740 Grande Blvd SE Ste B5
Rio Rancho, NM 87124-1799

Mailing address

1380 Rio Rancho Blvd SE # 403
Rio Rancho, NM 87124-1006
Phone (318) 333-7615

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Family Therapy, LLC CurrentSince May 6, 2025 Accepting new patients

Locations

1740 Grande Blvd SE
Ste B5
Rio Rancho, NM 87124
Phone (505) 336-0238

1380 Rio Rancho Blvd SE
Rio Rancho, NM 87124
Phone (505) 916-4729

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": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1689463242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 RIO RANCHO BLVD SE # 403",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241006",
            "telephone_number": "318-333-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 GRANDE BLVD SE STE B5",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241799",
            "telephone_number": "505-336-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "MAXINE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.