Healthcare Provider Details

I. General information

NPI: 1346161965
Provider Name (Legal Business Name): ANTHONY THOMAS LOHR-VALDEZ LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 SAN PEDRO DR SE # 122-H
ALBUQUERQUE NM
87108-5153
US

IV. Provider business mailing address

12100 GLEN CANYON RD NE
ALBUQUERQUE NM
87111-4175
US

V. Phone/Fax

Practice location:
  • Phone: 505-264-5458
  • Fax:
Mailing address:
  • Phone: 505-331-8769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWB-2026-0261
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: