NICOLE K DEHERRERA LISW
NPI 1417281015
Social Worker - Clinical in Farmington, NM

Active since September 29, 2009
4601 COLLEGE BLVD, FARMINGTON, NM 87402(505) 566-3846(505) 566-3687 Get Directions Write a Review

NPPES record last updated: March 18, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Social Worker
  • Clinical

About NICOLE DEHERRERA

This page provides the complete NPI Profile along with additional information for Nicole Deherrera, a provider established in Farmington, New Mexico with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1417281015 assigned on September 2009. The practitioner's primary taxonomy code is 1041C0700X with license number I-08612 (NM). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1417281015 Verify this NPI
Provider Name
NICOLE K DEHERRERA LISW
Gender
Female
Entity Type
Individual
Location Address
4601 COLLEGE BLVD FARMINGTON, NM 87402
Location Phone
(505) 566-3846
Location Fax
(505) 566-3687
Mailing Address
4601 COLLEGE BLVD FARMINGTON, NM 87402
Mailing Phone
(505) 566-3846
Mailing Fax
(505) 566-3687
Is Sole Proprietor?
No
Enumeration Date
09-29-2009
Last Update Date
03-18-2014
Code Navigator

A clinical social worker like Nicole Deherrera is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
I-08612
License State
NM
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1104100000XBehavioral Health & Social Service Providers

Social Worker

M-07674 (NM)

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Dentist (General Practice)
4601 COLLEGE BLVD
FARMINGTON, NM 87402
Clinic/Center (Dental)
4601 COLLEGE BLVD, DENTAL CLINIC
FARMINGTON, NM 87402
Physical Therapy Assistant
4601 COLLEGE BLVD
FARMINGTON, NM 87402
Community/Behavioral Health
4601 COLLEGE BLVD
FARMINGTON, NM 87402
Clinic/Center (Health Service)
4601 COLLEGE BLVD
FARMINGTON, NM 87402
Nurse Practitioner (Adult Health)
4601 COLLEGE BLVD
FARMINGTON, NM 87402

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417281015, enumerated as an "individual" on September 29, 2009.

The provider is located at 4601 COLLEGE BLVD FARMINGTON, NM 87402 and the phone number is (505) 566-3846.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.