Individual provider Active NPI

Jade Sanchez, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1124596119
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2023-1031 Issued in NM
Practice address
7520 Montgomery Blvd NE BLDG E15
Albuquerque, NM 87109-1586
Phone
(505) 226-6380
Fax
(505) 214-5852
NPI assigned
Nov 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X
Clinical Social Worker 1041C0700X SWB-2023-1031 NM Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

7520 Montgomery Blvd NE BLDG E15
Albuquerque, NM 87109-1586

Mailing address

7520 Montgomery Blvd NE BLDG E15
Albuquerque, NM 87109-1586
Phone (505) 226-6380

Other practice location 1

2551 Coors Blvd NW
Albuquerque, NM 87120-1213
Phone (505) 833-2300

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
I20240129003515 NM Practitioner - Clinical Social Worker 4486007127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unabridged Counseling and Coaching, LLCGroup PAC ID 6709145816, 4 clinicians

Practice addresses (Care Compare)

7520 Montgomery Blvd NE
BLDG. E15
Albuquerque, NM 87109-1586
Phone (505) 226-6380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2023-1031NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unabridged Counseling and Coaching, LLC CurrentSince Dec 19, 2023 Accepting new patients

Locations

7520 Montgomery Blvd NE
Bldg E15
Albuquerque, NM 87109
Phone (505) 226-6380

7510 Montgomery Blvd NE
Ste 202
Albuquerque, NM 87109
Phone (505) 514-3972

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": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1124596119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE BLDG E15",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091586",
            "telephone_number": "505-226-6380",
            "fax_number": "505-214-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE BLDG E15",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091586",
            "telephone_number": "505-226-6380",
            "fax_number": "505-214-5852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2551 Coors Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871201213",
            "country_code": "US",
            "telephone_number": "505-833-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "JADE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-1031",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.