Healthcare Provider Details

I. General information

NPI: 1326372798
Provider Name (Legal Business Name): FELICIA M TAPIA-ALVIDREZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2009
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 GOLF COURSE RD SE STE C
RIO RANCHO NM
87124-1634
US

IV. Provider business mailing address

8420 MOCK HEATHER RD NW
ALBUQUERQUE NM
87120-4246
US

V. Phone/Fax

Practice location:
  • Phone: 505-926-1599
  • Fax:
Mailing address:
  • Phone: 505-250-6856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC10492
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: