ALBERT AVERY (NPI# 1851873798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851873798 |
| Entity Type | Individual |
| Full Name | ALBERT AVERY |
| Credential | LMSW |
| Practice Address |
1201 N 1st St Bloomfield NM 87413-5271 |
| Mailing Address |
Po Box 1666 Shiprock NM 87420-1666 |
| Practice Telephone | 5056343500 |
| Mailing Telephone | 5058603393 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
M-10211 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 1041S0200X | 05 |
| Street Address |
1201 N 1ST ST |
| City | BLOOMFIELD |
| State | NM |
| Zip Code | 87413-5271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316154982 | Gregory Todd Eckstein | Registered Nurse | 1201 N 1st St, Bloomfield, NM 87413-5271 | 2007-05-16 |
| 1043865496 | Kristi Phillips | Counselor | 1201 N 1st St, Bloomfield, NM 87413-5271 | 2019-08-02 |
| 1700088408 | Lorna F. Bulwan | Student in an Organized Health Care Education/Training Program | 1201 N 1st St, Bloomfield, NM 87413-5271 | 2007-06-04 |
| 1336357342 | Georgina G. Alby | Specialist | 1201 N 1st St, Bloomfield, NM 87413-5271 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396057 | Heather Smith | Behavior Technician | 25a Cr 5060, Bloomfield, NM 87413 | 2020-11-04 |
| 1104292325 | Michelle Childers-beck | Social Worker | 235 N Bergin Lane, Bloomfield, NM 87413 | 2015-08-12 |
| 1427364090 | Marichu Lazo | Occupational Therapy Assistant | 803 Hacienda Lane, Bloomfield, NM 87413 | 2010-08-20 |
| 1023344181 | Sundance Dental Care of Bloomfield, LLC. | Dentist | 100 South First Street, Bloomfield, NM 87413 | 2009-10-26 |
| 1972838266 | Chris Dwight Richardson | Physical Therapy Assistant | #6 Cty Rd 5149, Bloomfield, NM 87413 | 2009-10-05 |
| 1710025028 | Roy Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413 | 2007-02-01 |
| 1760427587 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | 6 Road 7586, Bloomfield, NM 87413 | 2006-06-17 |
| 1568500833 | Connie Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413-2430 | 2007-02-01 |
| 1841453636 | James Bellah | Family Medicine | 6 County Road 7586, Bloomfield, NM 87413-4934 | 2008-07-02 |
| 1598751778 | David Lynn Doss | Optometrist | 6 Road 7586, Bloomfield, NM 87413-4934 | 2005-09-23 |
| Find all providers in zip 87413 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174007157 | Kathleen Henderson | Social Worker | 310 La Jara St, Bloomfield, NM 87413-6626 | 2018-09-17 |
| 1073061461 | Pamela Allcorn | Social Worker | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2016-09-14 |
| 1801287073 | Victoria Dominguez | Social Worker | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2015-02-10 |
| 1437570538 | Alisha K Hawthorne-carrasco | Social Worker | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2013-12-17 |
| 1881015972 | Darlene M Martinez | Social Worker | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2013-12-17 |
| 1245514371 | Paula A Sossong | Social Worker | 45 Maple Ave, Bloomfield, NY 14469-9394 | 2011-10-07 |
| 1649489428 | Roxanne Arthur | Social Worker | 329 N Bergin Ln, Bloomfield, NM 87413-6729 | 2007-05-21 |
| 1083822084 | Bunny Leigh Smith | Social Worker | 520 N 1st St, Bloomfield, NM 87413-5307 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447894449 | Monica Villa | Social Worker | 30 Avenida Villa, Las Vegas, NM 87701-4486 | 2019-11-01 |
| 1194366393 | Kami Lea Donald | Social Worker | 4451 Wildflower Dr, Farmington, NM 87401-2846 | 2019-09-30 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1427516178 | Rachel M Roth | Social Worker | 305 Truman St Ne, Albuquerque, NM 87108-1318 | 2019-03-12 |
| 1386101905 | Yvonne Amberman | Social Worker | 3100 Jane Pl Ne Apt 106, Albuquerque, NM 87111-5140 | 2019-03-01 |
| 1568936433 | Diana M Pacheco | Social Worker | 901 Avenida De Las Campanas, Santa Fe, NM 87507-5369 | 2019-01-14 |
| 1639641368 | Elizabeth Adams | Social Worker | 125 N Collison Ave, Cimarron, NM 87714-8505 | 2018-12-19 |
| 1245709161 | John Nicholas Olson | Social Worker | 6800 Franklin Ne, Rio Rancho, NM 87144-7647 | 2018-11-20 |
| 1609355296 | Laura Salinas | Social Worker | 6400 Uptown Blvd Ne Ste 200, Albuquerque, NM 87110-4202 | 2018-08-14 |
| 1871079798 | Karrie Espinosa | Social Worker | 402 W Court Ave, Las Cruces, NM 88005-2596 | 2018-07-13 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD |
| Zip Code | 87413 |
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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.