MR. ANGELO SANDOVAL (NPI# 1902289572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902289572 |
| Entity Type | Individual |
| Full Name | MR. ANGELO SANDOVAL |
| Credential | LMSW |
| Practice Address |
612 N Paseo De Onate Espanola NM 87531 |
| Mailing Address |
P.o. Box 520 Espanola NM 87532 |
| Practice Telephone | 5057533303 |
| Mailing Telephone | 5057532203 |
| Mailing Fax Number | 5057471881 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
612 N PASEO DE ONATE |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093722894 | Michael Meneakis | Optometrist | 612 N Paseo De Onate, Ste C, Espanola, NM 87532-2963 | 2006-08-02 |
| 1679011191 | Optometrics PC | Optometrist | 612 N Paseo De Onate, Espanola, NM 87532-2963 | 2017-02-03 |
| 1255720983 | Drs Mccloskey and Meneakis | Optometrist | 612 N Paseo De Onate, Espanola, NM 87532-2963 | 2015-01-19 |
| 1235538307 | Clemente Salazar | Counselor | 612 N Paseo De Onate, Espanola, NM 87532-2963 | 2014-08-14 |
| 1881025450 | Geralda Lambert | Counselor | 612 N Paseo De Onate, Espanola, NM 87532-2963 | 2013-12-09 |
| 1659713238 | Marcella Maestas | Social Worker | 612 N Paseo De Onate, Espanola, NM 87532-2963 | 2013-07-23 |
| 1386081933 | Kathryn Dziekan | Counselor | 612 N Paseo De Onate, Espanola, NM 87532-2963 | 2013-05-22 |
| 1598034431 | Jamilah Sagirah Dixon | Acupuncturist | 612 N Paseo De Onate, Espanola, NM 87532-2963 | 2011-12-21 |
| 1730465287 | Antonia Lujan | Counselor | 612 N Paseo De Onate, Espanola, NM 87532-2963 | 2011-10-28 |
| 1659656494 | Cindy Felisha Martinez | Counselor | 612 N Paseo De Onate, Espanola, NM 87532-2963 | 2011-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639595564 | Kaycee Hinckley | Occupational Therapist | #102 Cr 0061, Embudo, NM 87531 | 2014-03-17 |
| 1356517965 | Amanda Jean Goertz | Family Medicine | Highway 68 #2243, Rinconada, Embudo, NM 87531 | 2008-05-03 |
| 1629080643 | James Martin | Physician Assistant | Hwy 68 #2243 Rinconada, Embudo, NM 87531 | 2006-08-12 |
| 1316460009 | Kayci M Harris | Dentist | 1102 State Highway 68, Embudo, NM 87531 | 2017-07-25 |
| 1679017453 | Embudo Dental Center LLC | Clinic/Center | 1102 State Highway 68, Embudo, NM 87531-0037 | 2016-12-13 |
| 1710990478 | Richard D Padberg | Dentist | 1102 Hwy 68th, Embudo, NM 87531-0037 | 2006-08-14 |
| 1043368244 | Northern Nm Vocational Training | Day Training, Developmentally Disabled Services | 1860 Highway 68, Embudo, NM 87531-0273 | 2007-01-07 |
| 1407011315 | El Centro Family Health | Clinic/Center | Hwy 68 #2243 Rinconada, Embudo, NM 87531-2627 | 2008-07-21 |
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568810240 | Celedina Coss | Social Worker | 806 S Riverside Dr, Espanola, NM 87532-3397 | 2016-06-02 |
| 1487825204 | Michelle Peixinho | Social Worker | 912 E Fairview Ln, Espanola, NM 87532-2564 | 2008-03-19 |
| 1235231440 | Cirilo Sandoval | Social Worker | 835 Spruce St Ste C&d, Espanola, NM 87532-3455 | 2006-09-01 |
| 1255944989 | Julia Concha | Social Worker | 835 Spruce St, Espanola, NM 87532-3455 | 2020-08-24 |
| 1538648803 | Sarah Marcus Mcneill | Social Worker | 2010 Industrial Park Rd, Espanola, NM 87532-3600 | 2018-08-08 |
| 1467987396 | Diana M Armijo | Social Worker | 2010 Industrial Park Rd, Espanola, NM 87532-3600 | 2017-04-28 |
| 1265988455 | Brenda Cardozo | Social Worker | 2010 Industrial Park Rd, Espanola, NM 87532-3600 | 2016-08-29 |
| 1053702548 | Yevgeni Balicek | Social Worker | 2010 Industrial Park Rd, Espanola, NM 87532-3600 | 2015-02-05 |
| 1790173144 | Bonita Lyn Powers I | Social Worker | 1206 N Riverside Dr, Espanola, NM 87532-2811 | 2015-01-07 |
| 1538416086 | Thomas Brant Hall | Social Worker | 1302 Calle De La Merced, Espanola, NM 87532-2624 | 2012-08-14 |
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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.