MR. MICHAEL ANDREW PENA (NPI# 1093964074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093964074 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ANDREW PENA |
| Credential | LMSW |
| Practice Address |
2325 Cerrillos Rd Santa Fe NM 87505-3373 |
| Practice Telephone | 5054380010 |
| Practice Fax Number | 5054386011 |
| Mailing Telephone | 5054380010 |
| Mailing Fax Number | 5054386011 |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2015-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | M-07637 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 11479264 | 05 | |
| NM | 18677037 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235329913 | Michael Angelo Pena | Marriage & Family Therapist | 40 Southlite Cir, Sacramento, CA 95831-2135 | 2007-07-27 |
| 1558616250 | Michael Anthony Pena | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2012-07-18 |
| 1366732604 | Michael R Pena | Family Medicine | 1600 N Main Ave, Lovington, NM 88260-2830 | 2011-04-07 |
| Street Address |
2325 CERRILLOS RD |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-3373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104817832 | Adam V Baca | Counselor | 2325 Cerrillos Rd, The Life Link, Santa Fe, NM 87505-3373 | 2005-11-02 |
| 1114526522 | Christopher Maestas | Military Health Care Provider | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2020-10-19 |
| 1215535364 | Danielle White | Student in an Organized Health Care Education/Training Program | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2020-10-12 |
| 1972117760 | Patricia Vigil-bartrum | Case Manager/Care Coordinator | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2020-08-31 |
| 1841803996 | Carmen Miranda Rowland | Case Manager/Care Coordinator | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2020-08-28 |
| 1306465182 | Anna M Silva | Case Manager/Care Coordinator | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2020-04-13 |
| 1386274645 | Tanya Romero | Case Manager/Care Coordinator | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2020-01-24 |
| 1558905117 | Catherine V Hyde | Student in an Organized Health Care Education/Training Program | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2019-11-06 |
| 1457909541 | Ebony Archie | Case Manager/Care Coordinator | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2019-08-31 |
| 1376102871 | Gabrielle Martinez | Case Manager/Care Coordinator | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2019-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| 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 |
|---|---|---|---|---|
| 1922635721 | Wendy Ludlow | Social Worker | 1033 Agua Fria St, Santa Fe, NM 87501-2433 | 2020-03-24 |
| 1518474345 | Jacqueline Suzette Ramirez-batres | Social Worker | 2841 Dail Cir, Santa Fe, NM 87507-3416 | 2018-01-02 |
| 1497271142 | Edward Davidson | Social Worker | 2325 Cerrillos Rd # R, Santa Fe, NM 87505 | 2017-08-15 |
| 1396295028 | Whitney Chase | Social Worker | 2600 W Zia Rd Apt U1, Santa Fe, NM 87505-5828 | 2016-10-05 |
| 1770037558 | Jerah Sherman | Social Worker | 108 W Berger St, Santa Fe, NM 87505-2616 | 2016-08-09 |
| 1336598945 | Jane Davis | Social Worker | 13 E Old Agua Fria Rd, Santa Fe, NM 87508-5970 | 2016-06-06 |
| 1164829180 | Glenda Mazon | Social Worker | 13 East Old Agua Fria Road, Santa Fe, NM 87508-5970 | 2014-11-20 |
| 1669712923 | Michael Allan Budnik | Social Worker | 8 El Cerro Trail, Santa Fe, NM 87508 | 2013-02-25 |
| 1659674570 | David L. Solem | Social Worker | 1107 Sangre De Cristo St, Santa Fe, NM 87501-1055 | 2010-12-15 |
| 1508187691 | Solutions for Special Needs Psr Center | Social Worker | 8 Centaurus Ranch Rd, Santa Fe, NM 87507-7912 | 2010-06-12 |
| Find all providers in SANTA FE | ||||
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| 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.