Active NPI
Kelly F Zamora, LMSW
- School Social Worker
- Ruidoso, NM
National Provider Identifier
1861275125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- M-4268
- Practice address
- 2002 Sudderth Dr
Ruidoso, NM 88345-6119 - Phone
- (575) 257-2368
- NPI assigned
- Aug 18, 2023
- Last updated
- Aug 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | M-4268 | NM | Primary |
Addresses
Primary practice location
2002 Sudderth Dr
Ruidoso, NM 88345-6119
Mailing address
PO Box 302
Carrizozo, NM 88301-0302
Phone (575) 937-4800
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-4268 | NM | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1861275125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 302",
"city": "CARRIZOZO",
"state": "NM",
"postal_code": "883010302",
"telephone_number": "575-937-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 SUDDERTH DR",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "883456119",
"telephone_number": "575-257-2368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMORA",
"first_name": "KELLY",
"middle_name": "F",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-18",
"last_updated": "2023-08-18",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": "M-4268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ruidoso, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.