GABRIEL C CORDOVA (NPI# 1043863442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043863442 |
| Entity Type | Individual |
| Full Name | GABRIEL C CORDOVA |
| Credential | LMSW |
| Practice Address |
620 Lomas Blvd Nw Albuquerque NM 87102-2080 |
| Mailing Address |
1321 E Poplar St Deming NM 88030-4807 |
| Practice Telephone | 5052471701 |
| Practice Fax Number | 5052471704 |
| Mailing Telephone | 5755465951 |
| Mailing Fax Number | 5755465994 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
M-10436 | NM | Behavioral Health & Social Service Providers |
| Street Address |
620 LOMAS BLVD NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629577218 | Melanie Mcgrath | Occupational Therapist | 620 Lomas Blvd Nw, Albuquerque, NM 87102-2080 | 2018-02-08 |
| 1548803018 | Madia E Barbour | Social Worker | 620 Lomas Blvd Nw, Albuquerque, NM 87102-2080 | 2019-10-28 |
| 1144874306 | Jonathan Campos | Occupational Therapist | 620 Lomas Blvd Nw, Albuquerque, NM 87102-2080 | 2019-07-26 |
| 1104328939 | Lyndel Blaine | Occupational Therapist | 620 Lomas Blvd Nw, Albuquerque, NM 87102-2080 | 2018-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1609355296 | Laura Salinas | Social Worker | 6400 Uptown Blvd Ne Ste 200, Albuquerque, NM 87110-4202 | 2018-08-14 |
| 1992226187 | Iliana S Garcia | Social Worker | 2660 Eastman Ave Se, Albuquerque, NM 87106-9716 | 2017-06-28 |
| 1568992253 | Brittney Nichole Scavo | Social Worker | 7801 Academy Rd Ne Ste 200, Albuquerque, NM 87109-3379 | 2017-06-14 |
| 1508313891 | Jeanette Medina | Social Worker | 7801 Academy Rd Ne Bldg 2, Suite 200, Albuquerque, NM 87109-3379 | 2016-09-05 |
| 1790131530 | Mindy Romero | Social Worker | 12025 Elvin Pl Ne, Albuquerque, NM 87112-3460 | 2016-05-11 |
| 1205291416 | Romaine Serna | Social Worker | 2324 La Vista Ct Nw, Albuquerque, NM 87120-1025 | 2015-12-15 |
| 1962805721 | Nicole Kaufman | Social Worker | 221 Cottonwood Ct Nw, Albuquerque, NM 87107-6633 | 2014-10-07 |
| 1841612595 | Rachel Bowen | Social Worker | 6400 Uptown Blvd Ne Ste 360, Albuquerque, NM 87110-4204 | 2014-01-15 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on GABRIEL C CORDOVA.
| 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.