Individual provider Active NPI

Trinidad De Jesus Arguello, RN, LISW, PH.D

  • Clinical Social Worker
  • Taos, NM
National Provider Identifier
1841242336
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-2732 Issued in NM
Practice address
413 Sipapu Road
Box 6952
Taos, NM 87571-6489
Phone
(575) 758-5857
Fax
(575) 758-2832
NPI assigned
May 16, 2006
Last updated
Aug 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-2732 NM Primary
Registered Nurse 163W00000X R12314 NM

Addresses

Primary practice location

413 Sipapu Road
Box 6952
Taos, NM 87571-6489

Mailing address

PO Box 277
Arroyo Seco, NM 87514-0277
Phone (575) 776-2752

Other identifiers 2

IdentifierTypeStateIssuer
H6196MedicaidNM
MHC51409MedicaidNM

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
Credentials
Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R12314NMMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Compostela Community and Family Cultural Institute CurrentSince Feb 27, 2018 Accepting new patients

Organizations & group practices 1

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1841242336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "ARROYO SECO",
            "state": "NM",
            "postal_code": "875140277",
            "telephone_number": "575-776-2752",
            "fax_number": "575-758-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 SIPAPU ROAD",
            "address_2": "BOX 6952",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716489",
            "telephone_number": "575-758-5857",
            "fax_number": "575-758-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARGUELLO",
        "first_name": "TRINIDAD",
        "middle_name": "DE JESUS",
        "name_prefix": "Mrs.",
        "credential": "RN, LISW, PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-2732",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R12314",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H6196",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MHC51409",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.