Individual provider Active NPI

Vanessa Palmer

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1043733512
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2023-1253 Issued in NM
Practice address
3824 Pitt St NE
Albuquerque, NM 87111-3519
Phone
(505) 382-3332
NPI assigned
Jul 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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 SWB-2023-1253 NM Primary

Addresses

Primary practice location

3824 Pitt St NE
Albuquerque, NM 87111-3519

Mailing address

3824 Pitt St NE
Albuquerque, NM 87111-3519
Phone (505) 382-3332

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
I20240410004185 NM Practitioner - Clinical Social Worker 5294173159 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gaia Spirit Counseling Clinical CurrentSince Oct 6, 2024 Accepting new patients
Dana Paine Enterprises LLC CurrentSince Feb 10, 2024 Accepting new patients

Locations

920 Cardenas Dr NE
#A
Albuquerque, NM 87108
Phone (505) 266-8168

920 Cardenas Dr NE
Albuquerque, NM 87108
Phone (505) 266-8166

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": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1043733512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 PITT ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113519",
            "telephone_number": "505-382-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 PITT ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113519",
            "telephone_number": "505-382-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-1253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.