Andrea Busich, LCSW
Individual provider Active NPI Clinical Social Worker · Los Ranchos, NM
NPI 1073010658 · NPPES record last updated Mar 3, 2026
Key facts
- NPI
- 1073010658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SWB-2025-1261 (NM)
- Practice address
- 6501 4TH St NW
Los Ranchos, NM 87107-5800 - Phone
- (505) 433-7561
- NPI assigned
- Apr 10, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6501 4TH St NW
Suite H
Los Ranchos, NM 87107-5800
Phone (505) 433-7561
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251009005036 | NM | Practitioner - Clinical Social Worker | 5193222545 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SWB-2025-1261 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wild Magnolia Wellness | Current |
Accepting new patients |
Locations
4304 Carlisle Blvd NE
Albuquerque, NM 87107
Phone (505) 433-7561
6501 4th St NW
Ste H
Los Ranchos, NM 87107
Phone (505) 345-3429
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SWB-2025-1261 | NM | Yes |
Addresses
Primary practice location
6501 4TH St NW
Los Ranchos, NM 87107-5800
Mailing address
11500 Rosemont Ave NE
Albuquerque, NM 87112-5643
Phone (505) 573-1113
Other providers in Los Ranchos, NM
- Sylvia Cruz Bencomo
- Boldly Resilient LLC
- Frank Brady
- Fiona Breslin
- Charles Rand Briggs
- Carsal LLC
- Catalpa Counseling LLC
- Kathleen Luellen Chabot
- Felicia Chaves
- Annette Chavez
All providers in Los Ranchos, NM · Clinical Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.