Healthcare Provider Details

I. General information

NPI: 1205900834
Provider Name (Legal Business Name): VIOLANDA THERESA NUNEZ SOCIAL WORKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 APACHE AVE
SANTA FE NM
87505-3212
US

IV. Provider business mailing address

1316 APACHE AVE
SANTA FE NM
87505-3212
US

V. Phone/Fax

Practice location:
  • Phone: 505-438-0035
  • Fax: 505-438-0051
Mailing address:
  • Phone: 505-438-0035
  • Fax: 505-438-0051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI1588
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: