Provider Demographics
NPI:1295893311
Name:ARMENTA, DENISE CHRISTINE (LISW)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:CHRISTINE
Last Name:ARMENTA
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 1:6300 RIVERSIDE PLAZA LN NW
Mailing Address - Street 2:SUITE 125
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-2617
Mailing Address - Country:US
Mailing Address - Phone:505-263-2947
Mailing Address - Fax:
Practice Address - Street 1:6300 RIVERSIDE PLAZA LN NW
Practice Address - Street 2:SUITE 125
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-2617
Practice Address - Country:US
Practice Address - Phone:505-263-2947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-061371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM1295893311OtherNOT CERTAIN WHICH MEDICARE PIN OR UPIN