Organization Active NPI

Zaida Abraham, Lisw, LLC

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1790227619
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-06441 Issued in NM
Legal business name
ZAIDA ABRAHAM, LISW, LLC
Practice address
3831 E Lohman Ave Ste 204
Las Cruces, NM 88011-8447
Phone
(575) 932-8510
NPI assigned
Nov 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Zaida Abraham
Title
President
Phone
(575) 932-8510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I-06441 NM Primary

Addresses

Primary practice location

3831 E Lohman Ave Ste 204
Las Cruces, NM 88011-8447

Mailing address

4505 Pinnacle View Dr
Las Cruces, NM 88011-0938
Phone (575) 932-8053

National Provider Directory

National Provider Directory

Locations

3831 E Lohman Ave
Ste 204
Las Cruces, NM 88011
Phone (575) 386-5254

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1790227619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 PINNACLE VIEW DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880110938",
            "telephone_number": "575-932-8053",
            "fax_number": "575-993-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 E LOHMAN AVE STE 204",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118447",
            "telephone_number": "575-932-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAIDA ABRAHAM, LISW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "ZAIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-932-8510"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.