Mathilde Elise Miquel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-05085 Issued in NM

Practice address

4628 La Vida Nueva del Sur SW
Albuquerque, NM 87105-2659

Phone

(505) 918-6824

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Matty Miquel Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1902966567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4628 LA VIDA NUEVA DEL SUR SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871052659",
            "telephone_number": "505-918-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4628 LA VIDA NUEVA DEL SUR SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871052659",
            "telephone_number": "505-918-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIQUEL",
        "first_name": "MATHILDE",
        "middle_name": "ELISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-05085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTY",
            "last_name": "MIQUEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Violet Hope Mintle
• Minuteclinic Diagnostic of New Mexico, LLC
• Minuteclinic Diagnostic of New Mexico, LLC
• Minuteclinic Diagnostic of New Mexico, LLC
• Joanna Rull Mioduszewski
• Fazia Ahmed Mir, M.D
• Mira Consulting, Incorporated
• Darlene Lynn Mirabal, CPSW
• Derikk Mirabal
• Gabriela Mirabal

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.