Healthcare Provider Details

I. General information

NPI: 1245516434
Provider Name (Legal Business Name): NYDIA M VALVERDE MSW LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2011
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3320 COORS BLVD NW STE C
ALBUQUERQUE NM
87120-1721
US

IV. Provider business mailing address

512 CANCUN LOOP NE APT 1402
RIO RANCHO NM
87124-1548
US

V. Phone/Fax

Practice location:
  • Phone: 505-652-4002
  • Fax:
Mailing address:
  • Phone: 619-405-7770
  • Fax: 619-405-7770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number25264
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC-09761
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: