Mattea Crawford-Remaly

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-10676 Issued in NM

Practice address

5400 Gibson Blvd SE Ste 11
Albuquerque, NM 87108-5182

Phone

(505) 982-3113

Fax

(505) 982-2462

NPI assigned

Jun 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1134745276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 GIBSON BLVD SE STE 11",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085182",
            "telephone_number": "505-705-9460",
            "fax_number": "505-982-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 GIBSON BLVD SE STE 11",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085182",
            "telephone_number": "505-982-3113",
            "fax_number": "505-982-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD-REMALY",
        "first_name": "MATTEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Edward Cravens
• Tonia Cravens
• Lea Megumi Craver, P.T.
• Thomas Cravey
• Nicole K Cravotta, COTA/L
• Bethany Crawford
• Casey Susan Crawford, PA-C
• Jennifer Nicole Crawford, PHD
• Mark K Crawford, MD
• Melissa Crawford

• 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 Jun 24, 2020; 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.