Stacy L Burleson, CPSW

Individual provider Active NPI Peer Specialist · Albuquerque, NM

NPI 1033729652 · NPPES record last updated Dec 26, 2023

Key facts

NPI
1033729652
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
License
S3-003 (NM)
Practice address
300 Central Ave SW
Albuquerque, NM 87102-3298
Phone
(505) 369-1731
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
S3-003NMMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Beautiful Transitions Consulting Current Accepting new patients
Women in Leadership New Mexico Inc Current Accepting new patients
Women in Leadership New Mexico Inc Peer Specialist Current Accepting new patients
Umoja Behavioral Health PC Past
since Aug 1, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X S3-003 NM Yes

Addresses

Primary practice location

300 Central Ave SW
Albuquerque, NM 87102-3298

Mailing address

300 Central Ave SW
Albuquerque, NM 87102-3298
Phone (505) 361-1739

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Peer Specialist in New Mexico

Sources for this page

Verify at the official NPI Registry.