Individual provider Active NPI

Kuldeep Kaur, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1194847145
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-11008 Issued in NM
Practice address
8900 Hampton Ave NE
Albuquerque, NM 87122-2956
Phone
(559) 942-0776
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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-11008 NM Primary

Addresses

Primary practice location

8900 Hampton Ave NE
Albuquerque, NM 87122-2956

Mailing address

8900 Hampton Ave NE
Albuquerque, NM 87122-2956
Phone (559) 942-0776

Other practice location 1

9400 Holly Ave NE
Albuquerque, NM 87122-2968
Phone (505) 974-0329

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
C-11008NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kuldeep Kaur LCSW Inc Clinical CurrentSince Sep 1, 2023 Accepting new patients

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1194847145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 HAMPTON AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222956",
            "telephone_number": "559-942-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 HAMPTON AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222956",
            "telephone_number": "559-942-0776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9400 Holly Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871222968",
            "country_code": "US",
            "telephone_number": "505-974-0329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "KULDEEP",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-11008",
            "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 Jan 26, 2024; 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.