Active NPI
Anna Marie Gonzales, LMSW
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1003240433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- M-08821
- Practice address
- 1709 Moon St NE
Albuquerque, NM 87112-3935 - Phone
- (505) 271-0329
- NPI assigned
- Aug 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | M-08821 | NM | Primary |
Addresses
Primary practice location
1709 Moon St NE
Albuquerque, NM 87112-3935
Mailing address
1709 Moon St NE
Albuquerque, NM 87112-3935
Phone (505) 271-0329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-08821 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Counseling Center | Current | Accepting new patients |
Locations
3949 Corrales Rd
Ste 205
Corrales, NM 87048
Phone (505) 385-0439
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Corrales, NM
- NPI 1134411259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415059200000",
"number": "1003240433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 MOON ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871123935",
"telephone_number": "505-271-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709 MOON ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871123935",
"telephone_number": "505-271-0329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "ANNA",
"middle_name": "MARIE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-21",
"last_updated": "2014-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "M-08821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.