Active NPI
Xena Imari Crespin, LMSW
- Social Worker
- Las Vegas, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- X-11822
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| X-11822 | NM | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krossroads Integrative Health and Recovery Solutions Inc | Current | Accepting new patients | |
| Kids Counseling, Inc | Current | Accepting new patients | |
| House of the Sacred Journey Inc | Current | 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.
-
- Mental Health Counselor
- Las Vegas, NM
- NPI 1730792698
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albuquerque, NM
- NPI 1891376125
-
- Clinical Social Worker
- Mora, NM
- NPI 1750715645
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.