Active NPI
Zaida Abraham, LISW
- Clinical Social Worker
- Las Cruces, NM
National Provider Identifier
1881731966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-06441
- Practice address
- 3831 E Lohman Ave Ste 204
Las Cruces, NM 88011-8447 - Phone
- (575) 932-8510
- NPI assigned
- Jan 30, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000514 | CT | |
| Clinical Social Worker | 1041C0700X | I-06441 | NM | Primary |
Addresses
Primary practice location
3831 E Lohman Ave Ste 204
Las Cruces, NM 88011-8447
Mailing address
4505 Pinnacle View Dr
Las Cruces, NM 88011-0938
Phone (575) 932-8053
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004583 | CT | MD | Occupational Therapist |
| 000514 | CT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Connecticut | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatric Hospital
- New Haven, CT
- NPI 1881629434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550448000000",
"number": "1881731966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 PINNACLE VIEW DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880110938",
"telephone_number": "575-932-8053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3831 E LOHMAN AVE STE 204",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118447",
"telephone_number": "575-932-8510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "ZAIDA",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2019-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "000514",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-06441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.