Individual provider Active NPI

Valerie Lynne Pierce, M.S.W.

  • Clinical Social Worker
  • Questa, NM
National Provider Identifier
1710099627
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-04931 Issued in NM
Practice address
32 Cabresto Rd.
Questa, NM 87556
Phone
(505) 586-2071
NPI assigned
Aug 31, 2006
Last updated
Aug 15, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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 I-04931 NM Primary

Addresses

Primary practice location

32 Cabresto Rd.
Questa, NM 87556

Mailing address

PO Box 461
Questa, NM 87556-0461
Phone (505) 586-2071

Other identifiers 1

IdentifierTypeStateIssuer
I-04931OtherNMSOCIAL WORK LICENSURE

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

State licenses

LicenseStateTypeSpecialty
I-04931NMMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1710099627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 461",
            "city": "QUESTA",
            "state": "NM",
            "postal_code": "875560461",
            "telephone_number": "505-586-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CABRESTO RD.",
            "city": "QUESTA",
            "state": "NM",
            "postal_code": "87556",
            "telephone_number": "505-586-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "VALERIE",
        "middle_name": "LYNNE",
        "name_prefix": "Miss",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-04931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSURE",
            "identifier": "I-04931",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Questa, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.