Individual provider Active NPI

Carol Helen Newton, LISW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1154434934
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-04729 Issued in NM
Practice address
3200 Carlisle Blvd NE Ste 201
Albuquerque, NM 87110-1697
Phone
(505) 238-7128
Fax
(505) 256-3240
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-04729 NM Primary

Addresses

Primary practice location

3200 Carlisle Blvd NE Ste 201
Albuquerque, NM 87110-1697

Mailing address

3200 Carlisle Blvd NE Ste 201
Albuquerque, NM 87110-1697
Phone (505) 238-7128

Other identifiers 4

IdentifierTypeStateIssuer
27704513MedicaidNM
201044865OtherNMPRESBYTERIAN HEALTH CARE
600795776OtherNMMAGELLAN
NM100824OtherNMVALUE OPTIONS

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
I20061220000441 NM Practitioner - Clinical Social Worker 3375549371 Practice locations: Albuquerque, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3200 Carlisle Blvd NE
Suite 201
Albuquerque, NM 87110-1697
Phone (505) 238-7128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-04729NMMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1154434934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CARLISLE BLVD NE STE 201",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101697",
            "telephone_number": "505-238-7128",
            "fax_number": "505-256-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CARLISLE BLVD NE STE 201",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101697",
            "telephone_number": "505-238-7128",
            "fax_number": "505-256-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "CAROL",
        "middle_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-04729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27704513",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH CARE",
            "identifier": "201044865",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "600795776",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "NM100824",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.