Bobbie Fay Larocque, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SWB-2023-1308 Issued in NM

Practice address

4316 Carlisle Blvd NE Ste D
Albuquerque, NM 87107-4829

Phone

(505) 421-0814

NPI assigned

Jul 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sealight Wellness LLC

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1467218784
  NPD Authorized official
• Adrienne M. Silva

  • Behavior Analyst
  • San Clemente, CA
  • NPI 1275990079
  NPD (past)
• Evolutions ABA Inc

  • Behavior Analyst
  • San Clemente, CA
  • NPI 1932980398

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1073090544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40742",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871960742",
            "telephone_number": "505-519-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 CARLISLE BLVD NE STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074829",
            "telephone_number": "505-421-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCQUE",
        "first_name": "BOBBIE",
        "middle_name": "FAY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-1308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30457874",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tommy Clyde Larison, D.C.
• Adrienne Gail Larkin, PH.D.
• Kevin Doyle Larkin, RN
• Melissa Larkin
• Christopher John Larmour, D.M.D.
• Jerry G. Larrabee, MD, MED
• Armand Larragoite
• Mark Larragoite, RPH
• Melissa J Larragoite, M.A., CCC-SLP
• Cassandra L. Larranaga, OTR/L

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.