Individual provider Active NPI

Roxroy Anthony Reid, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1174829170
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-06926 Issued in NM
Practice address
5310 Homestead Rd NE Ste 300
Albuquerque, NM 87110-1524
Phone
(505) 503-6838
Fax
(505) 369-1292
NPI assigned
Feb 8, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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-06926 NM Primary

Addresses

Primary practice location

5310 Homestead Rd NE Ste 300
Albuquerque, NM 87110-1524

Mailing address

100 Richard Rd
Corrales, NM 87048-6013
Phone (505) 710-4278

Other practice location 1

100 Richard Rd
Corrales, NM 87048-6013
Phone (505) 710-4278

Other identifiers 1

IdentifierTypeStateIssuer
41427815MedicaidNM

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
I20110921000213 NM Practitioner - Clinical Social Worker 8527239680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bosque Mental Health Associates IncGroup PAC ID 7719262492, 14 clinicians

Practice addresses (Care Compare)

5310 Homestead Rd NE
Suite 300
Albuquerque, NM 87110-1524
Phone (505) 503-6838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-06926NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bosque Mental Health Associates, Inc. Clinical CurrentSince Jan 18, 2019 Accepting new patients
At Home Geriatric Counseling and Consultation Clinical Past Accepting new patients

Locations

5310 Homestead Rd NE
Ste 300
Albuquerque, NM 87110
Phone (505) 503-6838

Organizations & group practices 3

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": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1174829170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RICHARD RD",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870486013",
            "telephone_number": "505-710-4278",
            "fax_number": "505-369-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 HOMESTEAD RD NE STE 300",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101524",
            "telephone_number": "505-503-6838",
            "fax_number": "505-369-1292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Richard Rd",
            "address_purpose": "LOCATION",
            "city": "Corrales",
            "state": "NM",
            "postal_code": "870486013",
            "country_code": "US",
            "telephone_number": "505-710-4278",
            "fax_number": "505-369-1292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "ROXROY",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-08",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-06926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41427815",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.