Didi Marie Josea, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

M-10119 Issued in NM

Practice address

3.7 Miles SE of MP 455 Hwy 264
Ganado, AZ 86505

Phone

(928) 729-4012

NPI assigned

Jun 7, 2017

Last updated

Jul 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1780113340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 921",
            "city": "SAINT MICHAELS",
            "state": "AZ",
            "postal_code": "865110921",
            "telephone_number": "928-856-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3.7 MILES SE OF MP 455 HWY 264",
            "city": "GANADO",
            "state": "AZ",
            "postal_code": "86505",
            "telephone_number": "928-729-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEA",
        "first_name": "DIDI",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X-10068",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-10119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B Noelani Hong, PHDOTRL
• Matthew Walter Hucek, MD
• Mohammad F Ilyas, MD
• Chandara Im, DDS
• Harrison Jim, THP
• Michael Anthony Kallsen, FNP-BC
• Leroy John Klassen
• Richard Kim Laughter, MD
• Cindy Lincoln, MSW
• Lopez Family Practice PLLC

• Clinical Social Worker in Ganado, AZ
• Providers in Ganado, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.