Individual provider Active NPI

Celia Naar

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1861868036
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-10703 Issued in NM
Practice address
1318 Vitalia St
Santa Fe, NM 87505-3224
Phone
(505) 433-7364
NPI assigned
Aug 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X X-09229 NM
Clinical Social Worker 1041C0700X C-10703 NM Primary

Addresses

Primary practice location

1318 Vitalia St
Santa Fe, NM 87505-3224

Mailing address

PO Box 6308
Santa Fe, NM 87502-6308
Phone (505) 433-7364

Other practice location 1

4100 Lucia Ln
Santa Fe, NM 87507-3000
Phone (803) 429-0628

Other identifiers 1

IdentifierTypeStateIssuer
1861868036MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190813002629 NM Practitioner - Clinical Social Worker 4981931912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1925 Aspen Dr
Suite 702B
Santa Fe, NM 87505-5480
Phone (505) 433-7364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X-09229NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Life Link CurrentSince Jul 25, 2019 Accepting new patients
Spring Lake Counseling LLC CurrentSince Feb 25, 2022 Accepting new patients

Locations

1925 Aspen Dr
Ste 702B
Santa Fe, NM 87505
Phone (505) 433-7364

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1861868036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6308",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875026308",
            "telephone_number": "505-433-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 VITALIA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053224",
            "telephone_number": "505-433-7364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Lucia Ln",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875073000",
            "country_code": "US",
            "telephone_number": "803-429-0628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAAR",
        "first_name": "CELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X-09229",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861868036",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.