Lena Corrine Gachupin, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0591 Issued in NM

Practice address

110 Sheep Springs Way
Jemez Pueblo, NM 87024

Phone

(575) 834-7258

Fax

(575) 834-9507

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

Yes

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)

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.

• Cochiti Health Clinic

  • General Acute Care Hospital
  • Cochiti Pueblo, NM
  • NPI 1093814691
  NPD (past)
• Kewa Pueblo Health Corporation

  • Community/Behavioral Health Agency
  • Santo Domingo Pueblo, NM
  • NPI 1336659077
  NPD (past)
• San Felipe Health Clinic

  • General Acute Care Hospital
  • San Felipe, NM
  • NPI 1831274851
  NPD (past)
• Santa Clara Health Center

  • General Acute Care Hospital
  • Espanola, NM
  • NPI 1043396377
  NPD (past)
• Santo Domingo Health Clinic

  • General Acute Care Hospital
  • Santo Domingo Pueblo, NM
  • NPI 1376632695
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1932260098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "address_2": "110 SHEEP SPRINGS",
            "city": "JEMEZ PUEBLO",
            "state": "NM",
            "postal_code": "870240279",
            "telephone_number": "575-834-7258",
            "fax_number": "575-834-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SHEEP SPRINGS WAY",
            "city": "JEMEZ PUEBLO",
            "state": "NM",
            "postal_code": "87024",
            "telephone_number": "575-834-7258",
            "fax_number": "575-834-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACHUPIN",
        "first_name": "LENA",
        "middle_name": "CORRINE",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-0591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82674060",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Fidel Fragua, LADAC
• Helen Hallas Fredlund
• Carol Y Gachupin, LDAC
• Danielle Gachupin
• Deyvonna Allison Gachupin, CPHT
• Stuart Gachupin, CPSW
• Alysha Aileen Gallegos-Yepa
• Paul Raymond Gooris, PA-C
• Robert A Gracey, OD
• Megan Patricia Greteman, PA-C

• Clinical Social Worker in Jemez Pueblo, NM
• Providers in Jemez Pueblo, 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 Aug 24, 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.