Individual provider Active NPI

Xena Imari Crespin, LMSW

  • Social Worker
  • Las Vegas, NM
National Provider Identifier
1003408527
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
X-11822 Issued in NM
Practice address
2528 Ridge Runner Rd
Las Vegas, NM 87701-4971
Phone
(505) 425-2622
NPI assigned
Feb 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X X-11822 NM Primary

Addresses

Primary practice location

2528 Ridge Runner Rd
Las Vegas, NM 87701-4971

Mailing address

2528 Ridge Runner Rd
Las Vegas, NM 87701-4971
Phone (505) 425-2622

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102003876 NM Practitioner - Clinical Social Worker 1052761053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1920 7TH St
Las Vegas, NM 87701-4956
Phone (505) 370-4420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X-11822NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Krossroads Integrative Health and Recovery Solutions Inc CurrentSince Nov 1, 2025 Accepting new patients
Kids Counseling, Inc CurrentSince Feb 7, 2021 Accepting new patients
House of the Sacred Journey Inc CurrentSince Nov 15, 2024 Accepting new patients

Locations

400 Gold Ave SW
Ste 1300E
Albuquerque, NM 87102

2528 Ridge Runner Rd
Las Vegas, NM 87701
Phone (505) 425-2622

721 5th St
Las Vegas, NM 87701
Phone (505) 425-1533

1920 7th St
Las Vegas, NM 87701
Phone (505) 370-4420

6 Calle Medico
Ste 1
Santa Fe, NM 87505
Phone (505) 273-4668

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1003408527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 RIDGE RUNNER RD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014971",
            "telephone_number": "505-425-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 RIDGE RUNNER RD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014971",
            "telephone_number": "505-425-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPIN",
        "first_name": "XENA",
        "middle_name": "IMARI",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X-11822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

Verify at the official NPI Registry.