Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LISA KOFFMAN
NPI 1164829230
Social Worker in Albuquerque, NM

Q: What is Lisa Koffman's NPI number?

The NPI number for Lisa Koffman is 1164829230. It was assigned to this individual provider in the NPPES registry on December 4, 2014.

Q: What is Lisa Koffman's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Koffman was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.

Active since December 04, 2014PECOS EnrolledAccepts Medicare Assignment

1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108(505) 975-5786 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lisa Koffman NPPES

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

LISA KOFFMAN (NPI 1164829230) is an individual social worker in Albuquerque, New Mexico, licensed in New Mexico (M-08397) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1164829230

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameLISA KOFFMAN

Location Address1501 SAN PEDRO DR SEAlbuquerque, NM 87108-5153

Mailing Address1501 San Pedro Dr SeAlbuquerque, NM 87108-5153 · (505) 975-5786

Phone(505) 975-5786

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateDecember 4, 2014

Last NPPES UpdateJune 23, 2026

NPPES CertifiedJune 23, 2026

✔ NPI 1164829230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NM · M-08397

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1501 SAN PEDRO DR SE, Albuquerque, NM 87108

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Koffman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385114669

PECOS Enrollment IDI20260528000368

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA P SAMPSON PHARMD

Pharmacist