Su Vida

Su Vida is a healthcare organization registered as Clinical Social Worker in Santa Fe, NM, holding Type 2 (organization) NPI 1629009899 since 2006. The authorized official on file is Carol Fitzpatrick, Executive Director/Ceo.

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NPI	1629009899
Entity type	Organization (Type 2)
Legal business name	Su Vida
Practice address	1601A SAINT MICHAELS DR, Santa Fe, NM, 87505
Phone	5059548777
Fax	5059548793
Enumeration date	2006-07-06
Last updated in NPPES	2020-08-22

Authorized official

Name	Carol Fitzpatrick
Title	Executive Director/Ceo
Phone	5059548777

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1041C0700X	Clinical Social Worker	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
78558	Medicaid	NM	—
NM600536	Other	NM	VALUE OPTIONS

Copy-ready billing details

Provider: Su Vida
NPI: 1629009899
Taxonomy: 1041C0700X (Clinical Social Worker)
Address: 1601A SAINT MICHAELS DR, Santa Fe, NM, 87505

Providers at this address

NPI	Name	Type	Specialty	Location
1326079492	Raul Escobedo-Osorio	Individual	Mental Health Counselor	Santa Fe, NM
1104851534	Jill Tiedemann	Individual	Mental Health Counselor	Santa Fe, NM
1003035411	Kim Servent	Individual	Mental Health Counselor	Santa Fe, NM

Verify this record

Cross-check NPI 1629009899 against the authoritative CMS record: view Su Vida on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Su Vida located?

The practice location on file with NPPES is in Santa Fe, NM.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.