Individual provider Active NPI

Devonica Carrasco, LMSW

  • School Social Worker
  • Carlsbad, NM
National Provider Identifier
1871204248
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
M-11822 Issued in NM
Practice address
1609 W Lea St
Carlsbad, NM 88220-3752
Phone
(575) 706-7990
NPI assigned
Dec 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X M-11822 NM Primary

Addresses

Primary practice location

1609 W Lea St
Carlsbad, NM 88220-3752

Mailing address

1609 W Lea St
Carlsbad, NM 88220-3752
Phone (575) 706-7990

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address devonica.carrasco@carlsbadschools.net

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

LicenseStateTypeSpecialty
M-11822NMMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1871204248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 W LEA ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203752",
            "telephone_number": "575-706-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 W LEA ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203752",
            "telephone_number": "575-706-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "DEVONICA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "M-11822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "devonica.carrasco@carlsbadschools.net",
            "affiliation": "N",
            "address_1": "1609 W Lea St",
            "city": "Carlsbad",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882203752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.