NPI 1164209094

Tara Carmelina Lupo, BSW

Practitioner Social Worker El Prado, NM

Practice location

Address: 36 State Road 522 STE 6, El Prado, NM 87529-6051
Phone: (575) 770-8903
Mailing address: 1358 Half Moon Rd, El Prado, NM 87529-7477

Registered specialties (2)

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1164209094
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2023
Record last updated: 21 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.