Provider Demographics
NPI:1982838983
Name:ARMIJO, SARAH ISABEL (LISW)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ISABEL
Last Name:ARMIJO
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2516 VERANDA RD NW
Mailing Address - Street 2:# 2
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-2985
Mailing Address - Country:US
Mailing Address - Phone:505-249-3808
Mailing Address - Fax:
Practice Address - Street 1:2516 VERANDA RD NW
Practice Address - Street 2:# 2
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-2985
Practice Address - Country:US
Practice Address - Phone:505-249-3808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-069781041C0700X
AZLMSW-125391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical