Angelo Cordova, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SWB-2023-1082 Issued in NM

Practice address

3100 Oak St
Las Cruces, NM 88005-3769

Phone

(575) 523-2288

NPI assigned

Nov 16, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Castillo Psychological, LLC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1518455245
  NPD

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1902671225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 HORIZON VIEW DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118651",
            "telephone_number": "575-200-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OAK ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053769",
            "telephone_number": "575-523-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "ANGELO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-16",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "SWB-2023-1082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Daniella Corbett, LMSW
• Christine Corbett, APRN
• Pam Corder
• Celeste Cordero
• Nathan Cordero
• Dolores Cordova, CFNP
• Kathleen Joyce Cordova, D.D.S.
• Core Mentalhealth Clinic LLC
• Core Primarycare Clinic LLC
• Tabatha Coreas-Dodson

• Social Worker in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.