NPIMap

Individual provider Active NPI

Juana Nevarez, LCSW

  • Clinical Social Worker
  • Los Lunas, NM
National Provider Identifier
1740338268
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-09631 Issued in NM
Practice address
461 Blue Sage Ave SW
Los Lunas, NM 87031-6643
Phone
(505) 515-7980
NPI assigned
Jan 8, 2007
Reactivated
Aug 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M-05683 NM
School Social Worker 1041S0200X M05683 NM
School Social Worker 1041S0200X C-09631 NM
Clinical Social Worker 1041C0700X C-09631 NM Primary

Addresses

Primary practice location

461 Blue Sage Ave SW
Los Lunas, NM 87031-6643

Mailing address

461 Blue Sage Ave SW
Los Lunas, NM 87031-6643
Phone (505) 515-7980

Other identifiers 1

IdentifierTypeStateIssuer
58925333MedicaidNM

Other names 1

  • Juana Nevarez-Jones 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M-05683NMMDSocial Worker
C-09631NMMDClinical Social Worker
M05683NMMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Los Lunas Schools Past Accepting new patients

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1740338268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 BLUE SAGE AVE SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870316643",
            "telephone_number": "505-515-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 BLUE SAGE AVE SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870316643",
            "telephone_number": "505-515-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVAREZ",
        "first_name": "JUANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-05683",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "M05683",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "C-09631",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58925333",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUANA",
            "last_name": "NEVAREZ-JONES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Lunas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.