Individual provider · NPI-1

Edmundo E Apodaca, LCSW/LADAC

Social Worker, Clinical · Rio Rancho, NM

NPI number1215029574

StatusActive

Last updated in NPPESSep 1, 2026

Details

NPI: 1215029574
Entity type: Individual (NPI-1)
Name: Edmundo E Apodaca
Credential: LCSW/LADAC
Sex: Male
Sole proprietor: Yes
Enumeration date: Sep 28, 2006
Certification date: Sep 1, 2026
Last updated: Sep 1, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1041C0700X	Social Worker, Clinical	C-05931	NM	Yes
101YA0400X	Counselor, Addiction (Substance Use Disorder)	CAD-0169181	NM

Practice location

1207 Golf Course Rd Se Ste B&C
Rio Rancho, NM 87124-1999

Phone 505-227-8386 · Fax 505-891-8403

Mailing address

1207 Golf Course Rd Se Ste B
Rio Rancho, NM 87124-5213

Phone 505-227-8386 · Fax 505-891-8403

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