Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack L. Humphries, Lisw, Ltd

Organization Clinical Social Worker · NPI 1043376288

Jack L. Humphries, Lisw, Ltd is a Clinical Social Worker in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8800 Palomar Ave NE
Albuquerque, NM 87109-7205
Phone: (505) 620-5225
Fax: (505) 798-1743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I-3613 (NM)

Record details

NPI number1043376288
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Humphries — President · (505) 620-5225
NPI enumeratedDecember 30, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 16387, Albuquerque, NM 87191-6387

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