Individual provider Active NPI

Samuel Hufnagel

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1003547126
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-09779 Issued in NM
Practice address
500 4TH St NW Ste 102
Albuquerque, NM 87102-5324
Phone
(505) 705-9636
NPI assigned
Jun 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-09779 NM Primary

Addresses

Primary practice location

500 4TH St NW Ste 102
Albuquerque, NM 87102-5324

Mailing address

500 4TH St NW Ste 102
Albuquerque, NM 87102-5324
Phone (505) 705-9636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C-09779NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Counseling 505, LLC Current Accepting new patients

Locations

500 4th St NW
Ste 102
Albuquerque, NM 87102
Phone (505) 356-7650

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.

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1003547126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 4TH ST NW STE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871025324",
            "telephone_number": "505-705-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 4TH ST NW STE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871025324",
            "telephone_number": "505-705-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFNAGEL",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09779",
            "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 Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.