Michelle D Pistole, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SWB-2025-0293 Issued in NM

Practice address

100 N Church St Ste B
Bloomfield, NM 87413-5754

Phone

(505) 333-7219

NPI assigned

Aug 30, 2011

Last updated

Jun 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Able Clinical Services Inc.

  • Clinical Social Worker
  • Bloomfield, NM
  • NPI 1154919694
  NPD

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1790066165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CHURCH ST STE B",
            "city": "BLOOMFIELD",
            "state": "NM",
            "postal_code": "874135754",
            "telephone_number": "505-333-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CHURCH ST STE B",
            "city": "BLOOMFIELD",
            "state": "NM",
            "postal_code": "874135754",
            "telephone_number": "505-333-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISTOLE",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2025-0293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01630229",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nida Naqvi
• Christopher L Nuttall
• Maria Lynn Oliphant, MSW
• Victoria Gale Peck, L.I.S.W.
• Sandra Jane Pelto, RDH
• Stephanie Poafpybitty
• Oferanda Poyer, MSW
• Susan A Pudwill, RN
• Dolores Ann Pyles
• Gabriela Quezada

• Clinical Social Worker in Bloomfield, NM
• Providers in Bloomfield, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.