Individual provider Active NPI

Ronald D Branch

  • School Social Worker
  • Carlsbad, NM
National Provider Identifier
1710268883
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
M-08675 Issued in NM
Practice address
700 W Stevens St
Carlsbad, NM 88220-4958
Phone
(575) 234-3305
Fax
(575) 725-5999
NPI assigned
Sep 2, 2011
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X M-08675 NM Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

700 W Stevens St
Carlsbad, NM 88220-4958

Mailing address

408 N Canyon St
Carlsbad, NM 88220-5812
Phone (575) 234-3305

Other practice location 1

1700 W Main St
Ste A2
Artesia, NM 88210-3711
Phone (575) 746-8890

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

State licenses

LicenseStateTypeSpecialty
M-08675NMMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1710268883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N CANYON ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205812",
            "telephone_number": "575-234-3305",
            "fax_number": "575-725-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W STEVENS ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204958",
            "telephone_number": "575-234-3305",
            "fax_number": "575-725-5999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 W Main St",
            "address_2": "Ste A2",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "NM",
            "postal_code": "882103711",
            "country_code": "US",
            "telephone_number": "575-746-8890",
            "fax_number": "575-746-2383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "RONALD",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-02",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "M-08675",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.