Eya Sofia Van Tassle, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

X-11270 Issued in NM

Practice address

1010 Las Lomas Rd NE
Albuquerque, NM 87102-2634

Phone

(505) 600-1499

NPI assigned

Mar 9, 2020

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

Other identifiers 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": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1699300707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "TIJERAS",
            "state": "NM",
            "postal_code": "870590367",
            "telephone_number": "505-660-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAS LOMAS RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022634",
            "telephone_number": "505-600-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN TASSLE",
        "first_name": "EYA",
        "middle_name": "SOFIA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X-11270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW PROVISIONAL LICENSE NUMBER",
            "identifier": "X-11270",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa R Van Meir, LPCC
• Kathleen Van Osten, MD
• Lilith Van Ry
• Julie K Van Someren, MD
• Melinda Van Stone, D.C.
• Rebecca Van Vleck
• Elona Van Wagenen, PHARMD
• Paige Van Wagenen, HIS11
• Viviana Van Wagoner, LPN
• Annika Van Wieren, MD

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.