Active NPI
Patricia W Delozier, LISW
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1811196223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I 05961
- Practice address
- 1923 Alvarado Dr NE
Sute 7
Albuquerque, NM 87110-5161 - Phone
- (505) 710-5639
- NPI assigned
- Jul 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I 05961 | NM | Primary |
Addresses
Primary practice location
1923 Alvarado Dr NE
Sute 7
Albuquerque, NM 87110-5161
Mailing address
1923 Alvarado Dr NE
Sute 7
Albuquerque, NM 87110-5161
Phone (505) 710-5639
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM000504 | Other | NM | VALUE OPTIONS OF NM |
| 202025281 | Other | NM | PRESBYTERIAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I 05961 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1811196223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 ALVARADO DR NE",
"address_2": "SUTE 7",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871105161",
"telephone_number": "505-710-5639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1923 ALVARADO DR NE",
"address_2": "SUTE 7",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871105161",
"telephone_number": "505-710-5639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELOZIER",
"first_name": "PATRICIA",
"middle_name": "W",
"name_prefix": "Ms.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-16",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I 05961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS OF NM",
"identifier": "NM000504",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN",
"identifier": "202025281",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.