Individual provider Active NPI

Virginia C Vary, LISW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1841268158
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I06467 Issued in NM
Practice address
1400 Carlisle Blvd NE
Suite C
Albuquerque, NM 87110-5658
Phone
(505) 379-7532
NPI assigned
Mar 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1681 FL
Clinical Social Worker 1041C0700X I06467 NM Primary
Clinical Social Worker 1041C0700X 6801016590 MI
Clinical Social Worker 1041C0700X L863313 MI

Addresses

Primary practice location

1400 Carlisle Blvd NE
Suite C
Albuquerque, NM 87110-5658

Mailing address

12541 Indian Trail NE
Albuquerque, NM 87112-4717
Phone (505) 379-7532

Other identifiers 1

IdentifierTypeStateIssuer
68088311MedicaidNM

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

LicenseStateTypeSpecialty
6801016590MIMDClinical Social Worker
L863313MIMDClinical Social Worker
I06467NMMDClinical Social Worker
1681FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1841268158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12541 INDIAN TRAIL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871124717",
            "telephone_number": "505-379-7532",
            "fax_number": "505-299-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CARLISLE BLVD NE",
            "address_2": "SUITE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105658",
            "telephone_number": "505-379-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARY",
        "first_name": "VIRGINIA",
        "middle_name": "C",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-11",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "1681",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I06467",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801016590",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "L863313",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68088311",
            "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 Jan 30, 2012; 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.