Individual provider Active NPI

Brenda Motley-Lopez, LCSW

  • Clinical Social Worker
  • Alamogordo, NM
National Provider Identifier
1871802660
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2023-0900 Issued in NM
Practice address
1900 10TH St
Alamogordo, NM 88310-5053
Phone
(575) 488-2500
NPI assigned
Sep 28, 2010
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWB-2023-0900 NM Primary

Addresses

Primary practice location

1900 10TH St
Alamogordo, NM 88310-5053

Mailing address

68A Sioux TRL
Tularosa, NM 88352-9680
Phone (575) 430-3426

Other practice location 1

125 Warrior Dr
Ruidoso, NM 88345-6026
Phone (575) 258-4859

Other identifiers 1

IdentifierTypeStateIssuer
62874225MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ALAMOGORDO

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
I20240522003805 NM Practitioner - Clinical Social Worker 9830531888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Center, Inc.Group PAC ID 6507858461, 6 clinicians

Practice addresses (Care Compare)

1900 10TH St
Alamogordo, NM 88310-5053
Phone 5754882500102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center, Inc. CurrentSince Mar 30, 2024 Accepting new patients

Locations

1900 10th St
Alamogordo, NM 88310
Phone (575) 437-7404

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": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1871802660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68A SIOUX TRL",
            "city": "TULAROSA",
            "state": "NM",
            "postal_code": "883529680",
            "telephone_number": "575-430-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105053",
            "telephone_number": "575-488-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Warrior Dr",
            "address_purpose": "LOCATION",
            "city": "Ruidoso",
            "state": "NM",
            "postal_code": "883456026",
            "country_code": "US",
            "telephone_number": "575-258-4859",
            "fax_number": "575-258-3320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTLEY-LOPEZ",
        "first_name": "BRENDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-0900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62874225",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ALAMOGORDO",
            "affiliation": "N",
            "address_1": "504 24th St",
            "city": "Alamogordo",
            "state": "NM",
            "country_code": "US",
            "postal_code": "883106104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

Verify at the official NPI Registry.