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

Gregory Bundrick, LISW

Individual provider Social Worker · NPI 1871758755

Gregory Bundrick, LISW is a Social Worker in Esapnola, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2008
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

See every abbreviation used in this directory →

Practice location Address checks out

1206 N Riverside Drive Ayudantes
Esapnola, NM 87532
Phone: (505) 747-0102
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence I06545 (NM)

Record details

NPI number1871758755
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorYes
NPI enumeratedJuly 21, 2008
Last updated in NPPESJuly 21, 2008
Mailing address12 Gaviota Rd, Santa Fe, NM 87508-2124