TIMOTHEA ELIZALDE SW NPI 1194877308

NPI Information

  • NPI: 1194877308
  • Provider Name: TIMOTHEA ELIZALDE, SW
  • Classification: Social Worker - 1041S0200X
  • Specialization: School
  • Entity Type: Individual
  • Address: 4700 COAL AVE SE
    HIGHLAND HS
    ALBUQUERQUE, NM
    ZIP 87108
  • Phone: (505) 265-3711

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NPI Details

Timothea Elizalde, SW is a school social worker in Albuquerque, NM. Timothea Elizalde, SW NPI is 1194877308. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4700 COAL AVE SE
HIGHLAND HS
ALBUQUERQUE, NM
ZIP 87108-804
Phone: (505) 265-3711

The enumeration date for this NPI number is 1/17/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041S0200XSocial WorkerSchoolM 2819NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
128480040MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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