MEDICARE: MR. VINCENT DANIEL ESPINOZA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CSW.09931245	CO
2	1041C0700X	Clinical Social Worker	156.0134387TELE	VT
3	1041C0700X	Clinical Social Worker	14227928-3501	UT
4	1041C0700X	Clinical Social Worker	SW-2024-0368	NM
5	1041C0700X	Clinical Social Worker	TPSW5004	FL
6	1041C0700X	Clinical Social Worker	0904017557	VA
7	1041C0700X	Clinical Social Worker	LC24022	ME
8	1041C0700X	Clinical Social Worker	L15521	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659036069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. VINCENT DANIEL ESPINOZA LCSW

Provider Business Mailing Address
First Line	:	5203 JUAN TABO BLVD NE STE 2B
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87111-2691
Country	:	US
Telephone Number	:	505-500-4125
Fax Number	:

Provider Business Practice Location Address
First Line	:	5203 JUAN TABO BLVD NE STE 2B
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87111-2691
Country	:	US
Telephone Number	:	575-208-8596
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2021
Last Update Date	:	12/23/2025

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Directions to “ MR. VINCENT DANIEL ESPINOZA LCSW” Practice Location

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