NPIMap

Organization Active NPI

Justice Access Support and Solutions for Health

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1831606987
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JUSTICE ACCESS SUPPORT AND SOLUTIONS FOR HEALTH
Practice address
1608 Isleta Blvd SW
Albuquerque, NM 87105-4634
Phone
(505) 907-8311
Fax
(505) 288-3561
NPI assigned
Jan 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Elizabeth Boyce
Title
Director of Operations
Phone
(505) 417-2362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1608 Isleta Blvd SW
Albuquerque, NM 87105-4634

Mailing address

1608 Isleta Blvd SW
Albuquerque, NM 87105-4634
Phone (505) 907-8311

Other identifiers 2

IdentifierTypeStateIssuer
83306528MedicaidNM
96001224MedicaidNM

Other names 1

  • Casa de Salud Doing business as

National Provider Directory

National Provider Directory

Locations

1608 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 907-8311

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1831606987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 ISLETA BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054634",
            "telephone_number": "505-907-8311",
            "fax_number": "505-907-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 ISLETA BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054634",
            "telephone_number": "505-907-8311",
            "fax_number": "505-288-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTICE ACCESS SUPPORT AND SOLUTIONS FOR HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "BOYCE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "505-417-2362"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83306528",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96001224",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa de Salud",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 23, 2020; 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.