LISA A MCTAVIS (NPI# 1891132346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891132346 |
| Entity Type | Individual |
| Full Name | LISA A MCTAVIS |
| Credential | PMSW |
| Practice Address |
2551 Coors Blvd Nw Albuquerque NM 87120-1213 |
| Practice Telephone | 5053383320 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2015-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | M-08387 | NM | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
X-08111 | NM | Behavioral Health & Social Service Providers |
| Street Address |
2551 COORS BLVD NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87120-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386754554 | Sylvia Marie Carleton | Counselor | 2551 Coors Blvd Nw, Albuquerque, NM 87120-1213 | 2006-08-30 |
| 1841804002 | Lisa M Filippelli | Case Manager/Care Coordinator | 2551 Coors Blvd Nw, Albuquerque, NM 87120-1213 | 2020-09-04 |
| 1811510951 | Katarina Kay Basmajian | Case Manager/Care Coordinator | 2551 Coors Blvd Nw, Albuquerque, NM 87120-1213 | 2020-05-23 |
| 1750904843 | Skylar Kane Shafer | Case Manager/Care Coordinator | 2551 Coors Blvd Nw, Albuquerque, NM 87120-1213 | 2020-05-22 |
| 1548882921 | Briget Ann Ledger | Case Manager/Care Coordinator | 2551 Coors Blvd Nw, Albuquerque, NM 87120-1213 | 2020-05-08 |
| 1427684901 | Francesca Radecki | Case Manager/Care Coordinator | 2551 Coors Blvd Nw, Albuquerque, NM 87120-1213 | 2020-03-17 |
| 1336775816 | Emily Moulton | Case Manager/Care Coordinator | 2551 Coors Blvd Nw, Albuquerque, NM 87120-1213 | 2020-03-17 |
| 1154957637 | Clara Ines Murphy | Case Manager/Care Coordinator | 2551 Coors Blvd Nw, Albuquerque, NM 87120-1213 | 2020-03-17 |
| 1063048544 | Magdalena Torres | Case Manager/Care Coordinator | 2551 Coors Blvd Nw, Albuquerque, NM 87120-1213 | 2020-03-17 |
| 1972139459 | Rosella Aragon | Case Manager/Care Coordinator | 2551 Coors Blvd Nw, Albuquerque, NM 87120-1213 | 2020-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971919 | Erica Denise Ortiz | Social Worker | 6212 Casa Blanca Dr Nw, Albuquerque, NM 87120 | 2020-10-27 |
| 1770133589 | Laura Lee Smith | Technician | 5112 Vista De Luz Nw, Albuquerque, NM 87120 | 2019-09-13 |
| 1285282715 | Aiden Charles Martinez | Case Manager/Care Coordinator | 6704 Nueva Pierda Street Nw, Albuquerque, NM 87120 | 2019-08-28 |
| 1831753508 | Jennifer Lydia Castro | Nurse Practitioner | 8428 Hawk Eye Rd Nw, Albuquerque, NM 87120 | 2019-04-27 |
| 1518425065 | Jean Louise Ramsey | Counselor | Office Alternatives/ The Center for Life Changes, 6300 Riverside Plaza Nw, Suite 100, Albuquerque, NM 87120 | 2019-03-04 |
| 1689147365 | Stairway Recovery, LLC | Family Medicine | 6300 Riverside Plaza Ln Nw Ste 118 #96523, Albuquerque, NM 87120 | 2019-01-06 |
| 1417443276 | Kyle Thomas Lantz | Dentist | 2800-a Coors Blvd Nw, Albuquerque, NM 87120 | 2018-07-05 |
| 1437669736 | Beatrice Ottomanelli | Day Training/Habilitation Specialist | 9180 Coors Blvd. Nw, Apt. 3307, Albuquerque, NM 87120 | 2017-10-02 |
| 1740705516 | Alianza Home Care, LLC | Home Health | 8307 Casa Negra Ct Nw, Albuquerque, NM 87120 | 2017-08-13 |
| 1366963399 | Jamie Farris | Registered Nurse | 8201 Golf Course Road Northwest, Suite D3 #121, Albuquerque, NM 87120 | 2017-06-29 |
| Find all providers in zip 87120 | ||||
| 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 |
|---|---|---|---|---|
| 1194355974 | Nicole Marie Padilla | Social Worker | 652 Vista Lejos Ln Sw, Albuquerque, NM 87121-8980 | 2020-01-21 |
| 1184261539 | Theresa Annette Bustos | Social Worker | 1900 Atrisco Dr Nw, Albuquerque, NM 87120-1146 | 2019-12-04 |
| 1437793395 | Stephanie Molina | Social Worker | 2440 Louisiana Blvd Ne Ste 300, Albuquerque, NM 87110-4394 | 2019-11-04 |
| 1639727571 | Celina Miera | Social Worker | 119 Industrial Ave Ne, Albuquerque, NM 87107-2283 | 2019-09-03 |
| 1174170955 | Stephanie Michele Camfield | Social Worker | 5323 Menaul Blvd Ne, Albuquerque, NM 87110-3113 | 2019-08-26 |
| 1336703156 | Edwin Vargas | Social Worker | 2617 Juan Tabo Blvd Ne Ste D, Albuquerque, NM 87112-2967 | 2019-04-26 |
| 1134690886 | Francisco Bussetti | Social Worker | 317 Panorama Pl Ne, Albuquerque, NM 87123-2128 | 2018-12-06 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| 1841774122 | Mona Ramlawi | Social Worker | 2900 Louisiana Blvd Ne Ste A2, Albuquerque, NM 87110-3550 | 2018-09-21 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87120 |
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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.