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MAISIE JACQUEZ LCSW
NPI 1437774312
Social Worker in Farmington, NM

Active since June 16, 2020PECOS Enrolled
3510 MESSINA DR, FARMINGTON, NM 87402(505) 609-8299 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2026, Jul 8, 2020, Jun 16, 2020 (3 updates tracked since 2020).

About Maisie Jacquez Lcsw NPPES

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

MAISIE JACQUEZ LCSW (NPI 1437774312) is an individual social worker in Farmington, New Mexico and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1437774312
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMAISIE JACQUEZCredential: LCSW
Location Address3510 MESSINA DRFarmington, NM 87402-4782
Mailing Address3510 Messina DrFarmington, NM 87402-4782 · (505) 210-1029
Phone(505) 609-8299
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 16, 2020
Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1437774312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
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.
3510 MESSINA DR, Farmington, NM 87402
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Other Names 1

Former Name (1)Maisie Deuel

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maisie Jacquez Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587163191
PECOS Enrollment IDI20251105003437
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Maisie Jacquez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PC
759 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Grow Healthcare Group PA
1,811 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Colorado and New Mexico enrollments
  • 504 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

JEAN MANZ COACHING, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3510 MESSINA DR
FARMINGTON, NM 87402
San Juan County (505) 716-7995
KAYLENE CRIBBS FNP
Nurse Practitioner (Family)
3510 MESSINA DR
FARMINGTON, NM 87402
San Juan County (505) 591-0636
HIGH DESERT BEHAVIORAL HEALTH LLC
Family Medicine
3510 MESSINA DR
FARMINGTON, NM 87402
San Juan County (505) 591-0636
MRS. JEAN MADELEINE MANZ LMFT
Marriage & Family Therapist
3510 MESSINA DR
FARMINGTON, NM 87402
San Juan County (505) 716-7995
MR. CHARLES BENSON STACEY LMFT
Marriage & Family Therapist
3510 MESSINA DR
FARMINGTON, NM 87402
San Juan County (832) 630-3022
EPIC COUNSELING SERVICES LLC
Counselor (Professional)
3510 MESSINA DR
FARMINGTON, NM 87402
San Juan County (505) 320-5553
SHAWNA B RILEY LADAC LPCC
Counselor (Addiction (Substance Use Disorder))
3510 MESSINA DR
FARMINGTON, NM 87402
San Juan County (505) 609-8299

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 Maisie Jacquez's NPI number?

The NPI number for Maisie Jacquez is 1437774312. It was assigned to this individual provider in the NPPES registry on June 16, 2020. The provider is also known as Maisie Deuel.

Where is Maisie Jacquez located?

Maisie Jacquez practices at 3510 Messina Dr, Farmington, NM 87402. The listed phone number is (505) 609-8299.

What is Maisie Jacquez's specialty?

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

Is Maisie Jacquez enrolled in Medicare?

Yes. Maisie Jacquez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Maisie Jacquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maisie Jacquez reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PC (San Jose, CA) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maisie Jacquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maisie Jacquez was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.