LA CLINICA DE FAMILIA, INCORPORATED (NPI# 1003087867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003087867 |
| Entity Type | Organization |
| Organization Name | LA CLINICA DE FAMILIA, INCORPORATED |
| Other Organization Name | HEALTY START PROGRAM |
| Practice Address |
570 W Griggs Ave Las Cruces NM 88005-2604 |
| Mailing Address |
570 W Griggs Healthy Start Program Las Cruces NM 88005 |
| Practice Telephone | 5755240767 |
| Practice Fax Number | 5755285539 |
| Mailing Telephone | 5755240767 |
| Mailing Fax Number | 5755285539 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2012-05-29 |
| Authorized Official Name | SUZAN MARTINEZ DE GONZALES (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5755261105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | NM | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Healty Start Program | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902436702 | La Clinica De Familia, Incorporated | Clinic/Center | 510 E Lisa Dr Bldg 2, Chaparral, NM 88081-7809 | 2020-01-21 |
| 1508838004 | La Clinica De Familia, Incorporated | Clinic/Center | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2006-02-07 |
| 1730152281 | La Clinica De Familia, Incorporated | Clinic/Center | 2625 Mcnutt Rd, Sunland Park, NM 88063-9019 | 2006-02-07 |
| 1962047506 | La Clinica De Familia, Incorporated | Clinic/Center | 2625 Mcnutt Rd Ste B, Sunland Park, NM 88063-9608 | 2019-11-07 |
| 1255711255 | La Clinica De Familia, Incorporated | Foster Care Agency | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2015-06-04 |
| 1033599022 | La Clinica De Familia, Incorporated | Clinic/Center | 826 Anthony Dr., Anthony, NM 88021-9346 | 2015-06-04 |
| 1073993200 | La Clinica De Familia, Incorporated | Clinic/Center | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2015-06-03 |
| 1639559891 | La Clinica De Familia, Incorporated | Clinic/Center | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2015-06-03 |
| 1164802310 | La Clinica De Familia, Incorporated | Clinic/Center | 105 W Griggs Ave, Las Cruces, NM 88001 | 2015-06-03 |
| 1871973297 | La Clinica De Familia, Incorporated | Clinic/Center | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2015-06-01 |
| Street Address |
570 W GRIGGS AVE |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225238876 | Salvador Urias | Social Worker | 570 W Griggs Ave, Las Cruces, NM 88005-2604 | 2007-07-23 |
| 1386977601 | Jonah O. Garcia | Social Worker | 570 W Griggs Ave, Las Cruces, NM 88005-2604 | 2009-09-18 |
| 1700031689 | Antonia Romero | Social Worker | 570 W Griggs Ave, Las Cruces, NM 88005-2604 | 2008-11-19 |
| 1942400593 | Ruth Ann Ortiz | Social Worker | 570 W Griggs Ave, Las Cruces, NM 88005-2604 | 2007-07-23 |
| 1750581302 | Sandra Meza-aldaz | Social Worker | 570 W Griggs Ave, Las Cruces, NM 88005-2604 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
| 1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
| 1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| Find all providers in zip 88005 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913378 | Teresa Lucia Samaniego | Social Worker | 755 S Telshor Blvd Ste 203, Las Cruces, NM 88011-4688 | 2020-08-18 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1790249316 | Angela Lynn Tellez | Social Worker | 755 S Telshor Blvd Ste 201b, Las Cruces, NM 88011-3647 | 2019-01-28 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1386120590 | Joe A Castillo | Social Worker | 1605 S Main St Bldg A, Las Cruces, NM 88005-3124 | 2018-07-11 |
| 1245758465 | Rodolfo Gabriel Martinez | Social Worker | 125 W Mountain Ave, Las Cruces, NM 88005-1826 | 2017-09-08 |
| 1093231821 | Andrea Mata | Social Worker | 501 N Roadrunner Pkwy Apt 2701, Las Cruces, NM 88011-2033 | 2017-08-14 |
| 1346780533 | Joy Doucette | Social Worker | 126 Oxford Dr, Las Cruces, NM 88005-1732 | 2017-03-07 |
| 1689126880 | Angelina Frias | Social Worker | 5083 Avenida Del Sol, Las Cruces, NM 88011 | 2016-11-04 |
| 1417409582 | Blanca Hernandez | Social Worker | 2805 Las Vegas Ct Ste B, Las Cruces, NM 88007-4108 | 2016-10-25 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88005 |
Please comment or provide details below to improve the information on LA CLINICA DE FAMILIA, INCORPORATED.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.