Active NPI
Leslie Beckett
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1063889517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-08702
- Practice address
- 2601 Wyoming Blvd NE
Ste 208
Albuquerque, NM 87112-1035 - Phone
- (312) 662-2507
- NPI assigned
- Aug 31, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-08702 | NM | Primary |
Addresses
Primary practice location
2601 Wyoming Blvd NE
Ste 208
Albuquerque, NM 87112-1035
Mailing address
5819 Bosque Vista Dr NE
Albuquerque, NM 87111-8314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-08702 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1063889517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5819 BOSQUE VISTA DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871118314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 WYOMING BLVD NE",
"address_2": "STE 208",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871121035",
"telephone_number": "312-662-2507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKETT",
"first_name": "LESLIE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-31",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-08702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.