Individual provider Active NPI

Anne G Snyder, LISW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1023164498
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-06193 Issued in NM
Practice address
2601 Wyoming Blvd NE Ste 208
Albuquerque, NM 87112-1033
Phone
(505) 503-0272
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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-06193 NM Primary

Addresses

Primary practice location

2601 Wyoming Blvd NE Ste 208
Albuquerque, NM 87112-1033

Mailing address

2601 Wyoming Blvd NE Suite 208
Albuquerque, NM 87112
Phone (505) 503-0272

Other names 1

  • Anne G Tate Former name

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
I20111107000695 NM Practitioner - Clinical Social Worker 0840463865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Essential Mental Health LLCGroup PAC ID 7618140633, 5 clinicians

Practice addresses (Care Compare)

9007 Washington St
Albuquerque, NM 87113-2722
Phone (505) 209-3412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-06193NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Neuroscience Center Inc CurrentSince Aug 10, 2019 Accepting new patients
Essential Mental Health, LLC Clinical CurrentSince Jul 10, 2011 Accepting new patients

Locations

7850 Jefferson St NE
Ste 300
Albuquerque, NM 87109
Phone (505) 884-1114

2601 Wyoming Blvd NE
Ste 208
Albuquerque, NM 87112
Phone (505) 503-0272

Organizations & group practices 2

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1023164498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 WYOMING BLVD NE SUITE 208",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87112",
            "telephone_number": "505-503-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 WYOMING BLVD NE STE 208",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121033",
            "telephone_number": "505-503-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "ANNE",
        "middle_name": "G",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-06193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "TATE",
            "middle_name": "G",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.