Individual provider Active NPI

Bart J. Leuser, LISW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1174593586
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-4152 Issued in NM
Practice address
2600 Marble NE
Building 2
Albuquerque, NM 87131-5391
Phone
(505) 272-5022
Fax
(505) 272-3466
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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 I-4152 NM Primary

Addresses

Primary practice location

2600 Marble NE
Building 2
Albuquerque, NM 87131-5391

Mailing address

2600 Marble NE
Building 2
Albuquerque, NM 87131-5391
Phone (505) 272-5022

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I-4152NMMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1174593586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 MARBLE NE",
            "address_2": "BUILDING 2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871315391",
            "telephone_number": "505-272-5022",
            "fax_number": "505-272-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 MARBLE NE",
            "address_2": "BUILDING 2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871315391",
            "telephone_number": "505-272-5022",
            "fax_number": "505-272-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUSER",
        "first_name": "BART",
        "middle_name": "J.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-4152",
            "primary": true
        }
    ],
    "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 Dec 20, 2007; 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.