Active NPI
Monique Rivera
- Clinical Social Worker
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SWB-2022-0492
- Practice address
- 306 Washington St SE Albuquerque, NM 87108
Albuquerque, NM 87108-2360 - Phone
- (505) 577-8473
- NPI assigned
- Jan 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M-10645 | NM | |
| Clinical Social Worker | 1041C0700X | SWB-2022-0492 | NM | Primary |
Addresses
Primary practice location
306 Washington St SE Albuquerque, NM 87108
Albuquerque, NM 87108-2360
Mailing address
306 Washington St SE Albuquerque, NM 87108
Albuquerque, NM 87108-2360
Phone (505) 577-8473
Other practice location 1
128 Orchard Pl
Belen, NM 87002-7390
Phone (505) 577-8473
Other practice location 2
707 Broadway Blvd NE
Albuquerque, NM 87102-2360
Phone (505) 345-8471
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
306 Washington St SE
Albuquerque, NM 87108-2735
Phone (505) 456-5400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-10645 | NM | MD | Social Worker |
| SWB-2022-0492 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Worthy of Space Counseling LLC | Clinical | Current | Accepting new patients |
Locations
306 Washington St SE
Albuquerque, NM 87108
Phone (505) 456-5400
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albuquerque, NM
- NPI 1114652070
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1104390244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 WASHINGTON ST SE ALBUQUERQUE, NM 87108",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871082360",
"telephone_number": "505-577-8473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 WASHINGTON ST SE ALBUQUERQUE, NM 87108",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871082360",
"telephone_number": "505-577-8473"
}
],
"practiceLocations": [
{
"address_1": "128 Orchard Pl",
"address_purpose": "LOCATION",
"city": "Belen",
"state": "NM",
"postal_code": "870027390",
"country_code": "US",
"telephone_number": "505-577-8473",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "707 Broadway Blvd NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871022360",
"country_code": "US",
"telephone_number": "505-345-8471",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "MONIQUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-11",
"last_updated": "2022-08-18",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-10645",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "SWB-2022-0492",
"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 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.