Active NPI
Gloria P Robertshaw, LISW
- Clinical Social Worker
- Taos, NM
National Provider Identifier
1952549685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-05434
- Practice address
- 224 Cruz Alta Rd
Taos, NM 87571-5947 - Phone
- (575) 737-5533
- Fax
- (575) 737-5544
- NPI assigned
- Feb 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-05434 | NM | Primary |
| Mental Health Counselor | 101YM0800X | I-05434 | NM |
Addresses
Primary practice location
224 Cruz Alta Rd
Taos, NM 87571-5947
Mailing address
224 Cruz Alta Rd
Ste J
Taos, NM 87571-5947
Phone (575) 737-5533
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-05434 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sangre de Cristo Community Health Partnership | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- Santa Fe, NM
- NPI 1003096264
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1952549685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 CRUZ ALTA RD",
"address_2": "STE J",
"city": "TAOS",
"state": "NM",
"postal_code": "875715947",
"telephone_number": "575-737-5533",
"fax_number": "575-737-5534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 CRUZ ALTA RD",
"city": "TAOS",
"state": "NM",
"postal_code": "875715947",
"telephone_number": "575-737-5533",
"fax_number": "575-737-5544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSHAW",
"first_name": "GLORIA",
"middle_name": "P",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-03",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-05434",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "I-05434",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.