Carol Theodor Machendrie, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0115 Issued in NM

Practice address

125 E Palace Ave
Suite 44
Santa Fe, NM 87501-2085

Phone

(505) 984-1687

Fax

(505) 983-0871

NPI assigned

Jan 6, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831247014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7644 OLD SANTA FE TRL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875059359",
            "telephone_number": "505-984-1687",
            "fax_number": "505-983-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E PALACE AVE",
            "address_2": "SUITE 44",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012085",
            "telephone_number": "505-984-1687",
            "fax_number": "505-983-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHENDRIE",
        "first_name": "CAROL",
        "middle_name": "THEODOR",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-0115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janeen Denice Maas, M.D.
• Kathleen Sara Macdonald, MD
• Molly Marie Macdonnell, PHARM.D.
• Kira Macdougall, MD.
• Kirk Walter Macgillivray, DDS
• David M Macias, M.D.
• Nicole Mackey
• Linda L. Macquigg, LPCC
• Madad Group Inc
• Michaella Maddry

• Clinical Social Worker in Santa Fe, NM
• Providers in Santa Fe, 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 Jul 8, 2007; 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.