Individual provider Active NPI

Monique Rivera

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1104390244
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2022-0492 Issued in NM
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

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230105000396 NM Practitioner - Clinical Social Worker 0648640953 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
M-10645NMMDSocial Worker
SWB-2022-0492NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Worthy of Space Counseling LLC Clinical CurrentSince Aug 15, 2022 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.

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

Verify at the official NPI Registry.