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JACK L. HUMPHRIES, LISW, LTD.
NPI 1043376288
Social Worker - Clinical in Albuquerque, NM

Active since December 30, 2006
8800 PALOMAR AVE NE, ALBUQUERQUE, NM 87109(505) 620-5225(505) 798-1743 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack L. Humphries, Lisw, Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK L. HUMPHRIES, LISW, LTD. (NPI 1043376288) is a healthcare organization registered as a clinical in Albuquerque, New Mexico and active in the NPI registry since December 2006. The organization lists Jack L. Humphries, President, as its authorized official.

NPPES Registry Identity

NPI1043376288
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJACK L. HUMPHRIES, LISW, LTD.
Location Address8800 PALOMAR AVE NEAlbuquerque, NM 87109-7205
Mailing AddressPo Box 16387Albuquerque, NM 87191-6387 · (505) 620-5225 · Fax (505) 798-1743
Phone(505) 620-5225
Fax(505) 798-1743
Organization SubpartNo
Authorized OfficialJack L. HumphriesPresident · (505) 620-5225
Enumeration DateDecember 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1043376288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NM · I-3613
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
8800 PALOMAR AVE NE, Albuquerque, NM 87109
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Other Identifiers 4

MedicaidNM60084NM
Medicaid37982788NM
Medicaid24500721NM
MedicaidD-4525NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack L. Humphries, Lisw, Ltd.'s NPI number?

The NPI number for Jack L. Humphries, Lisw, Ltd. is 1043376288. It was assigned to this organization in the NPPES registry on December 30, 2006.

Where is Jack L. Humphries, Lisw, Ltd. located?

Jack L. Humphries, Lisw, Ltd. is located at 8800 Palomar Ave NE, Albuquerque, NM 87109. The listed phone number is (505) 620-5225.

What is Jack L. Humphries, Lisw, Ltd.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jack L. Humphries, Lisw, Ltd. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.