Individual provider Active NPI

Frank San Giovanni, LISW

  • Clinical Social Worker
  • Rio Rancho, NM
National Provider Identifier
1902990724
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0448 Issued in NM
Practice address
4011 Barbara Loop SE
Rio Rancho, NM 87124-1039
Phone
(505) 891-1583
Fax
(505) 891-1768
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 I-0448 NM Primary

Addresses

Primary practice location

4011 Barbara Loop SE
Rio Rancho, NM 87124-1039

Mailing address

423 Santa Fe Ave SW
Albuquerque, NM 87102-4163
Phone (505) 977-1988

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
I-0448NMMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902990724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 SANTA FE AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871024163",
            "telephone_number": "505-977-1988",
            "fax_number": "505-244-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 BARBARA LOOP SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241039",
            "telephone_number": "505-891-1583",
            "fax_number": "505-891-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN GIOVANNI",
        "first_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-0448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.