Rose Marie Codova, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

M-3352 Issued in NM

Practice address

230 Rotten Tree Road
Taos, NM 87571-1846

Phone

(575) 758-4224

Fax

(575) 751-5219

NPI assigned

Apr 29, 2010

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Taos Pueblo CMS Administration

  • Community/Behavioral Health Agency
  • Taos, NM
  • NPI 1184992612
  NPD (past)

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1912224999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1846",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875711846",
            "telephone_number": "575-758-4224",
            "fax_number": "575-751-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 ROTTEN TREE ROAD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875711846",
            "telephone_number": "575-758-4224",
            "fax_number": "575-751-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODOVA",
        "first_name": "ROSE MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-3352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASTERS SOCIAL WORKER",
            "identifier": "M-3352",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice L Chua
• Christine Armell Ciceri, D.O.M.
• Jessica Cisneros
• Edwina Claire
• Alden G Cockburn, MD
• Brittney Coe, PA-C
• Sam Coffman
• Cindy Collyer
• Shayla B Colton
• Common Ground Counseling

• Clinical Social Worker in Taos, NM
• Providers in Taos, 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 Apr 29, 2010; 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.