Individual provider Active NPI

Maria Garza, LCSW

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1811547755
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2023-0291 Issued in NM
Practice address
530 N Church St
Las Cruces, NM 88001-3440
Phone
(575) 526-9878
Fax
(575) 526-7835
NPI assigned
Sep 12, 2019
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X X-11210 NM
Clinical Social Worker 1041C0700X SWB-2023-0291 NM Primary

Addresses

Primary practice location

530 N Church St
Las Cruces, NM 88001-3440

Mailing address

530 N Church St
Las Cruces, NM 88001-3440
Phone (575) 526-9878

Other identifiers 2

IdentifierTypeStateIssuer
12228770MedicaidNM
15656543MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221101002612 NM Practitioner - Clinical Social Worker 8224405477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Counseling Las Cruces LLCGroup PAC ID 8820385271, 15 clinicians

Practice addresses (Care Compare)

530 N Church St
Las Cruces, NM 88001-3440
Phone (575) 526-9878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X-11210NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Las Cruces, LLC CurrentSince Aug 15, 2022 Accepting new patients
Amanecer Community Counseling Center PastSince Sep 1, 2019 Accepting new patients
Amanecer Community Counseling Center, LLC PastSince Sep 1, 2019 Accepting new patients

Locations

530 N Church St
Las Cruces, NM 88001
Phone (575) 526-9878

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1811547755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N CHURCH ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013440",
            "telephone_number": "575-526-9878",
            "fax_number": "575-526-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N CHURCH ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013440",
            "telephone_number": "575-526-9878",
            "fax_number": "575-526-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X-11210",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-0291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12228770",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15656543",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.