Individual provider Active NPI

Rebecca Kathleen Davis-Duran, LCSW

  • Clinical Social Worker
  • Rio Rancho, NM
National Provider Identifier
1063858702
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-11010 Issued in NM
Practice address
4011 Barbara Loop SE Ste 208
Rio Rancho, NM 87124-1041
Phone
(505) 219-1125
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X M-10002 NM
Clinical Social Worker 1041C0700X C-11010 NM Primary

Addresses

Primary practice location

4011 Barbara Loop SE Ste 208
Rio Rancho, NM 87124-1041

Mailing address

9100 San Mateo Blvd NE Apt 1089
Albuquerque, NM 87113-2609
Phone (505) 234-4554

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
I20200225001356 NM Practitioner - Clinical Social Worker 4183051592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M-10002NMMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1063858702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 SAN MATEO BLVD NE APT 1089",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132609",
            "telephone_number": "505-234-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 BARBARA LOOP SE STE 208",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241041",
            "telephone_number": "505-219-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-DURAN",
        "first_name": "REBECCA",
        "middle_name": "KATHLEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-10002",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-11010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.