Individual provider Active NPI

Ina Townley Bawaya, LCSW, MFA

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1699188995
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-08584 Issued in NM
Practice address
3901 Georgia St NE
Ste A4
Albuquerque, NM 87110-1391
Phone
(505) 803-7150
Fax
(505) 293-0617
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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 C-08584 NM Primary

Addresses

Primary practice location

3901 Georgia St NE
Ste A4
Albuquerque, NM 87110-1391

Mailing address

12820 Thomte Rd NE
Albuquerque, NM 87112-6808
Phone (505) 293-2768

Other names 1

  • Ina Lee Townley Former name

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)
Enrolled
Credentials
Master of Fine Arts

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1699188995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12820 THOMTE RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871126808",
            "telephone_number": "505-293-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 GEORGIA ST NE",
            "address_2": "STE A4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101391",
            "telephone_number": "505-803-7150",
            "fax_number": "505-293-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWAYA",
        "first_name": "INA",
        "middle_name": "TOWNLEY",
        "name_prefix": "Ms.",
        "credential": "LCSW, MFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-08584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INA",
            "last_name": "TOWNLEY",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 29, 2016; 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.