Individual provider Active NPI

Henry Schelton, LISW

  • School Social Worker
  • Rio Rancho, NM
National Provider Identifier
1972640936
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
I- 3742 Issued in NM
Practice address
301 Loma Colorado St NE
Rio Rancho, NM 87124-6562
Phone
(505) 896-5618
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X I- 3742 NM Primary

Addresses

Primary practice location

301 Loma Colorado St NE
Rio Rancho, NM 87124-6562

Mailing address

9 Cienega Canyon Rd
Placitas, NM 87043-9117
Phone (505) 867-4321

Other identifiers 1

IdentifierTypeStateIssuer
75461MedicaidNM

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- 3742NMMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972640936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CIENEGA CANYON RD",
            "city": "PLACITAS",
            "state": "NM",
            "postal_code": "870439117",
            "telephone_number": "505-867-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LOMA COLORADO ST NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246562",
            "telephone_number": "505-896-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELTON",
        "first_name": "HENRY",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "I- 3742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75461",
            "state": "NM"
        }
    ],
    "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 9, 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.