Bruce Douglas Washburne, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0957 Issued in NM

Practice address

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153

Phone

(505) 265-1711

Fax

(505) 256-6414

NPI assigned

Mar 30, 2006

Sex

Male

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

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093776940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WELLESLEY DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061424",
            "telephone_number": "505-265-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SAN PEDRO DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085153",
            "telephone_number": "505-265-1711",
            "fax_number": "505-256-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHBURNE",
        "first_name": "BRUCE",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-0957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "I-0957",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Wascher, MD
• Jocelyn Marie Wascher, MD
• Isabel Anne Washburn, WHNP
• Marnae G. Washburn, LISW
• Steven Andrew Washburn, PHD, LPCC
• Charles Henry Washington III, M.D., M.P.H.
• Corey Ashley Washington, LPN
• Jamal L Washington
• Jimmy L. Washington, LMSW
• Megan Elizabeth Washington, GC

• 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 Jul 13, 2026; 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.