Individual provider Active NPI

Cindy Myers, LISW, LADAC

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1114229507
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-08602 Issued in NM
Practice address
1709 Moon St NE
Albuquerque, NM 87112-3935
Phone
(505) 271-0329
NPI assigned
Nov 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-08602 NM Primary
Social Worker 104100000X X-08137 NM
Addiction (Substance Use Disorder) Counselor 101YA0400X 0160181 NM

Addresses

Primary practice location

1709 Moon St NE
Albuquerque, NM 87112-3935

Mailing address

812 Amherst Dr NE
Albuquerque, NM 87106-1223
Phone (505) 463-8530

Other practice location 1

8401 Constitution Ave NE # 8403
Albuquerque, NM 87110-7604
Phone (505) 271-0329

Other practice location 2

10 Tesuque St
Kewa, NM 87052-9998
Phone (505) 465-2733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0160181NMMDAddiction (Substance Use Disorder) Counselor
X-08137NMMDSocial Worker
C-08602NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unica PastSince May 16, 2024 Accepting new patients

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": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1114229507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 AMHERST DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061223",
            "telephone_number": "505-463-8530",
            "fax_number": "505-465-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 MOON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123935",
            "telephone_number": "505-271-0329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 Constitution Ave NE # 8403",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871107604",
            "country_code": "US",
            "telephone_number": "505-271-0329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Tesuque St",
            "address_purpose": "LOCATION",
            "city": "Kewa",
            "state": "NM",
            "postal_code": "870529998",
            "country_code": "US",
            "telephone_number": "505-465-2733",
            "fax_number": "505-465-0433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "CINDY",
        "credential": "LISW, LADAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-08602",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X-08137",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0160181",
            "primary": false
        }
    ],
    "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 Nov 6, 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.