Active NPI
Linda Patrice Irene, LMSW
- Clinical Social Worker
- Santa Fe, NM
National Provider Identifier
1972664480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- M-04910
- Practice address
- 1700 Cerrillos Rd
Behavioral Health
Santa Fe, NM 87505-3554 - Phone
- (505) 946-9460
- Fax
- (505) 983-6243
- NPI assigned
- Dec 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | M-04910 | NM | Primary |
Addresses
Primary practice location
1700 Cerrillos Rd
Behavioral Health
Santa Fe, NM 87505-3554
Mailing address
1700 Cerrillos Rd
Behavioral Health
Santa Fe, NM 87505-3554
Phone (505) 946-9460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11923032 | Medicaid | NM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| M-04910 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Clara Health Center | Past | Accepting new patients | |
| Santo Domingo Health Clinic | Past | Accepting new patients | |
| San Felipe Health Clinic | Past | Accepting new patients | |
| Cochiti Health Clinic | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Cochiti Pueblo, NM
- NPI 1093814691
-
- General Acute Care Hospital
- San Felipe, NM
- NPI 1831274851
-
- General Acute Care Hospital
- Espanola, NM
- NPI 1043396377
-
- General Acute Care Hospital
- Santo Domingo Pueblo, NM
- NPI 1376632695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1972664480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 CERRILLOS RD",
"address_2": "BEHAVIORAL HEALTH",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875053554",
"telephone_number": "505-946-9460",
"fax_number": "505-983-6243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 CERRILLOS RD",
"address_2": "BEHAVIORAL HEALTH",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875053554",
"telephone_number": "505-946-9460",
"fax_number": "505-983-6243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRENE",
"first_name": "LINDA",
"middle_name": "PATRICE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "M-04910",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11923032",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.