Provider Demographics
NPI:1821232984
Name:ARAIZA-JOHNSTON, MARGARITA L (LCSW)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:L
Last Name:ARAIZA-JOHNSTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARGARITA
Other - Middle Name:LOURDES
Other - Last Name:ARAIZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6432 COVENTRY HILLS DR NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-0829
Mailing Address - Country:US
Mailing Address - Phone:505-934-8217
Mailing Address - Fax:
Practice Address - Street 1:10052 COORS BLVD NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-4020
Practice Address - Country:US
Practice Address - Phone:505-934-8217
Practice Address - Fax:505-899-8372
Is Sole Proprietor?:No
Enumeration Date:2009-04-20
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13322972-35011041C0700X
HILCSW-4991-01041C0700X
ORL144771041C0700X
WALW614947151041C0700X
CA1213941041C0700X
AR13152-C1041C0700X
1041C0700X
NMC-069921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM71433074Medicaid