TELECIA CROCKETT
NPI 1205425170
Community Health Worker in Bloomfield, NM

Active since January 14, 2021
101 E BROADWAY AVE, BLOOMFIELD, NM 87413(505) 330-8220(505) 234-7867 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 19, 2023, May 6, 2021, Jan 14, 2021 (3 updates tracked since 2021).

About Telecia Crockett NPPES

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

TELECIA CROCKETT (NPI 1205425170) is an individual community health worker in Bloomfield, New Mexico and active in the NPI registry since January 2021. She maintains a secondary practice location in Farmington.

NPPES Registry Identity

NPI1205425170
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NameTELECIA CROCKETT
Location Address101 E BROADWAY AVEBloomfield, NM 87413-6235
Mailing Address101 E Broadway AveBloomfield, NM 87413-6235 · (505) 330-8220 · Fax (505) 234-7867
Fax(505) 234-7867
Sole ProprietorNo
Enumeration DateJanuary 14, 2021
Last NPPES UpdateJanuary 19, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
NPI 1205425170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
101 E BROADWAY AVE, Bloomfield, NM 87413

Secondary Practice Location 1

Location 1114 N Behrend AveFarmington, NM 87401-8414 · Phone (505) 330-8220 · Fax (505) 234-7867

Other Providers at the Same Location NPPES 11

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

Behavior Technician
101 E BROADWAY AVE
BLOOMFIELD, NM 87413
Social Worker (Clinical)
101 E BROADWAY AVE
BLOOMFIELD, NM 87413
Social Worker
101 E BROADWAY AVE
BLOOMFIELD, NM 87413
Community Health Worker
101 E BROADWAY AVE
BLOOMFIELD, NM 87413
Behavior Analyst
101 E BROADWAY AVE
BLOOMFIELD, NM 87413
Community/Behavioral Health
101 E BROADWAY AVE
BLOOMFIELD, NM 87413
Counselor (Addiction (Substance Use Disorder))
101 E BROADWAY AVE
BLOOMFIELD, NM 87413
Counselor (Mental Health)
101 E BROADWAY AVE
BLOOMFIELD, NM 87413

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 Telecia Crockett's NPI number?

The NPI number for Telecia Crockett is 1205425170. It was assigned to this individual provider in the NPPES registry on January 14, 2021.

Where is Telecia Crockett located?

Telecia Crockett practices at 101 E Broadway Ave, Bloomfield, NM 87413. The listed phone number is (505) 330-8220.

What is Telecia Crockett's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Telecia Crockett was last updated on January 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.