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

Picuris Pueblo

Organization Clinical Social Worker · NPI 1073181061

Picuris Pueblo is a Clinical Social Worker in Penasco, New Mexico. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
7

Practice location Address checks out

201 A Pueblo View Rd
Penasco, NM 87553
Phone: (575) 587-2519
Fax: (505) 579-2660
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X
Clinical Social Worker Taxonomy 1041C0700X
Case Manager/Care Coordinator Taxonomy 171M00000X
Community Health Worker Taxonomy 172V00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Land Ambulance Taxonomy 3416L0300X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X

Record details

NPI number1073181061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Quanchello — Governor, Picuris Pueblo · (575) 587-2519
NPI enumeratedJune 15, 2021
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing addressPo Box 127, Penasco, NM 87553

Other providers in Penasco