Daijah Marie Smith, CD, CPSW, MHFA, CHW

Individual provider Active NPI Peer Specialist · Albuquerque, NM

NPI 1750144937 · NPPES record last updated Mar 12, 2024

Key facts

NPI
1750144937
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
300 Central Ave SW Ste 1500E
Albuquerque, NM 87102-3293
Phone
(505) 369-1731
NPI assigned
Feb 1, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Women in Leadership New Mexico Inc Current
since Feb 4, 2024
Accepting new patients
Women in Leadership New Mexico Inc Peer Specialist Current
since Feb 4, 2024
Accepting new patients

Locations

300 Central Ave SW
Ste 1500E
Albuquerque, NM 87102
Phone (505) 369-1731

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NM Yes

Addresses

Primary practice location

300 Central Ave SW Ste 1500E
Albuquerque, NM 87102-3293

Mailing address

9500 Osuna Rd NE Apt 1014
Albuquerque, NM 87111-2291
Phone (505) 572-5652

Other practice location 1

9500 Osuna Rd NE Apt 1014
Albuquerque, NM 87111-2291
Phone (806) 332-5218

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 12, 2024.

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1750144937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 OSUNA RD NE APT 1014",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112291",
            "telephone_number": "505-572-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTRAL AVE SW STE 1500E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023293",
            "telephone_number": "505-369-1731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Osuna Rd NE Apt 1014",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871112291",
            "country_code": "US",
            "telephone_number": "806-332-5218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAIJAH",
        "middle_name": "MARIE",
        "credential": "CD, CPSW, MHFA, CHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Peer Specialist in New Mexico

Sources for this page

Verify at the official NPI Registry.