Liana Loughead Lisw

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-08489 Issued in NM

Legal business name

LIANA LOUGHEAD LISW

Practice address

5712 Osuna Rd NE
Albuquerque, NM 87109-2566

Phone

(505) 261-1755

Fax

(505) 508-2584

NPI assigned

Feb 2, 2016

Organization subpart

No

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

Authorized official

Name

Liana A. Loughead, LISWNPI 1558671081

Title

Owner

Phone

(505) 261-1755

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Liana Alexis Loughead, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1558671081
  NPD (past) Authorized official

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1790143063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 OSUNA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092566",
            "telephone_number": "505-261-1755",
            "fax_number": "505-508-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5712 OSUNA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092566",
            "telephone_number": "505-261-1755",
            "fax_number": "505-508-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIANA LOUGHEAD LISW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "LOUGHEAD",
        "authorized_official_first_name": "LIANA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-261-1755",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-08489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12619935",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97633381",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xiaorong Linda Li, DOM
• Yibing Li, MD
• Yuan Li, OD
• Zhi Li, D.O.M
• James Phillip Liakos
• Mary Liano
• Jennifer Liao
• Liberateabq, LLC
• Liberated Counseling LLC
• Stephanie Liberman

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, 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 Feb 2, 2016; 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.