Healthcare Provider Details

I. General information

NPI: 1851947022
Provider Name (Legal Business Name): BRIANA ORWIX LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2019
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 MESA ST SE
ALBUQUERQUE NM
87106-4243
US

IV. Provider business mailing address

1710 MESA ST SE
ALBUQUERQUE NM
87106-4243
US

V. Phone/Fax

Practice location:
  • Phone: 505-224-8600
  • Fax:
Mailing address:
  • Phone: 505-224-8600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWB-2023-0690
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberSWB-2023-0690
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: