1. Home
  2. Directory
  3. New Mexico
  4. Carlsbad
  5. Social Worker
  6. NPI Profile

MYSTI JO CHURCH LMSW
NPI 1710567714
Social Worker in Carlsbad, NM

Active since April 13, 2021
914 N CANAL ST, CARLSBAD, NM 88220(575) 885-4836(505) 443-8319 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2023, Apr 13, 2021 (2 updates tracked since 2021).

About Mysti Jo Church Lmsw NPPES

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

MYSTI JO CHURCH LMSW (NPI 1710567714) is an individual social worker in Carlsbad, New Mexico, licensed in New Mexico (SWB-2023-0090) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1710567714
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMYSTI JO CHURCHCredential: LMSW
Location Address914 N CANAL STCarlsbad, NM 88220-5110
Mailing Address914 N Canal StCarlsbad, NM 88220-5110 · (575) 885-4836 · Fax (505) 443-8319
Phone(575) 885-4836
Fax(505) 443-8319
Sole ProprietorNo
Enumeration DateApril 13, 2021
Last NPPES UpdateOctober 4, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2023
✔ NPI 1710567714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NM · SWB-2023-0090
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.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
914 N CANAL ST, Carlsbad, NM 88220
Open in Google Maps ↗

Other Identifiers 1

Medicaid02486417000NM

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.

YANIRA GONZALES
Case Manager/Care Coordinator
914 N CANAL ST
CARLSBAD, NM 88220
Eddy County (575) 885-4836
STEPHEN ORAVEC APRN-CNP
Nurse Practitioner (Psychiatric/Mental Health)
914 N CANAL ST
CARLSBAD, NM 88220
Eddy County (575) 885-4836
ASHLEY E RAMIREZ
Case Manager/Care Coordinator
914 N CANAL ST
CARLSBAD, NM 88220
Eddy County (575) 885-4836
KELSEY J GARZA
Counselor
914 N CANAL ST
CARLSBAD, NM 88220
Eddy County (575) 885-4836
SERENA K RODRIGUEZ CSW
Case Manager/Care Coordinator
914 N CANAL ST
CARLSBAD, NM 88220
Eddy County (575) 885-4836
PAMELA J MONTGOMERY L.M.S.W.
Social Worker
914 N CANAL ST
CARLSBAD, NM 88220
Eddy County (575) 885-4836
SARA S TANNER
Licensed Practical Nurse
914 N CANAL ST
CARLSBAD, NM 88220
Eddy County (575) 885-4836
HEATHER L TREFFERT
Case Manager/Care Coordinator
914 N CANAL ST
CARLSBAD, NM 88220
Eddy County (575) 885-4836

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 Mysti Church's NPI number?

The NPI number for Mysti Church is 1710567714. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Mysti Church located?

Mysti Church practices at 914 N Canal St, Carlsbad, NM 88220. The listed phone number is (575) 885-4836.

What is Mysti Church's specialty?

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

When was this NPI record last updated?

The NPPES record for Mysti Church was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.