DEIDRA MARIE CORDOVA LMSW
NPI 1851806525
Social Worker - Clinical in Las Vegas, NM

Active since December 04, 2017PECOS EnrolledAccepts Medicare Assignment
2534 RIDGE RUNNER RD, LAS VEGAS, NM 87701(505) 617-1180 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2021, Dec 4, 2017 (2 updates tracked since 2017).

About Deidra Marie Cordova Lmsw NPPES

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

DEIDRA MARIE CORDOVA LMSW (NPI 1851806525) is an individual clinical provider in Las Vegas, New Mexico, licensed in New Mexico (C-10903) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1851806525
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEIDRA MARIE CORDOVACredential: LMSW
Location Address2534 RIDGE RUNNER RDLas Vegas, NM 87701-4971
Mailing Address624 University AveLas Vegas, NM 87701-4278
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 4, 2017
Last NPPES UpdateMay 7, 20212 updates tracked since enumeration
NPPES CertifiedMay 7, 2021
NPI 1851806525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NM · C-10903
Definition

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.

Also ListedSocial WorkerTaxonomy 104100000X · License M-09998 (NM)
2534 RIDGE RUNNER RD, Las Vegas, NM 87701

Secondary Practice Location 1

Location 1624 University AveLas Vegas, NM 87701-4278 · Phone (505) 425-1910

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

Deidra Marie Cordova Lmsw 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 ID1355753385
PECOS Enrollment IDI20201216002722
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Social Worker
2534 RIDGE RUNNER RD
LAS VEGAS, NM 87701
Counselor (Mental Health)
2534 RIDGE RUNNER RD
LAS VEGAS, NM 87701

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 Deidra Cordova's NPI number?

The NPI number for Deidra Cordova is 1851806525. It was assigned to this individual provider in the NPPES registry on December 4, 2017.

Where is Deidra Cordova located?

Deidra Cordova practices at 2534 Ridge Runner Rd, Las Vegas, NM 87701. The listed phone number is (505) 617-1180.

What is Deidra Cordova's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Deidra Cordova enrolled in Medicare?

Yes. Deidra Cordova is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Deidra Cordova was last updated on May 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.