Individual provider Active NPI

Nichole Strasser, LMSW

  • Clinical Social Worker
  • Los Lunas, NM
National Provider Identifier
1033657812
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
M-09456 Issued in NM
Practice address
2212 Main St NE
Suite a
Los Lunas, NM 87031-6350
Phone
(505) 916-5900
Fax
(505) 916-5900
NPI assigned
Feb 1, 2017
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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 M-09456 NM Primary

Addresses

Primary practice location

2212 Main St NE
Suite a
Los Lunas, NM 87031-6350

Mailing address

2212 Main St NE
Suite a
Los Lunas, NM 87031-6350
Phone (505) 916-5900

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
I20231013001046 NM Practitioner - Clinical Social Worker 4587019328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9400 Holly Ave NE
BLDG 4
Albuquerque, NM 87122-2969
Phone (505) 336-0403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M-09456NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Perspective Therapy, LLC CurrentSince Aug 25, 2023 Accepting new patients
Elijah Family Ministry Past Accepting new patients

Locations

9400 Holly Ave NE
Bldg 4
Albuquerque, NM 87122
Phone (505) 336-0403

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1033657812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 MAIN ST NE",
            "address_2": "SUITE A",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870316350",
            "telephone_number": "505-916-5900",
            "fax_number": "505-916-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 MAIN ST NE",
            "address_2": "SUITE A",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870316350",
            "telephone_number": "505-916-5900",
            "fax_number": "505-916-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRASSER",
        "first_name": "NICHOLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-09456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

Verify at the official NPI Registry.