Provider Demographics
NPI:1073385944
Name:ARRIZA, LAUREL (LMSW)
Entity Type:Individual
Prefix:
First Name:LAUREL
Middle Name:
Last Name:ARRIZA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:LAUREL
Other - Middle Name:
Other - Last Name:LONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5844 LEASBURG DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88007-5907
Mailing Address - Country:US
Mailing Address - Phone:575-386-7038
Mailing Address - Fax:
Practice Address - Street 1:225 E IDAHO AVE
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-3257
Practice Address - Country:US
Practice Address - Phone:575-209-4269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSWB-2022-0532104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker