Edmundo E Apodaca, LCSW/LADAC
Individual provider Active NPI Clinical Social Worker · Rio Rancho, NM
NPI 1215029574 · NPPES record last updated Sep 1, 2026
Key facts
- NPI
- 1215029574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C-05931 (NM)
- Practice address
- 1207 Golf Course Rd SE Ste B&C
Rio Rancho, NM 87124-1999 - Phone
- (505) 227-8386
- Fax
- (505) 891-8403
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1207 Golf Course Rd SE
Suite C
Rio Rancho, NM 87124-5213
Phone (505) 994-4100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160328002200 | NM | Practitioner - Clinical Social Worker | 0042461626 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-05931 | NM | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAD-0169181 | NM | |
| Clinical Social Worker | 1041C0700X | C-05931 | NM | Yes |
Addresses
Primary practice location
1207 Golf Course Rd SE Ste B&C
Rio Rancho, NM 87124-1999
Mailing address
1207 Golf Course Rd SE Ste B
Rio Rancho, NM 87124-5213
Phone (505) 227-8386
Other providers in Rio Rancho, NM
- Chidinma Anozie
- Asmamaw Anshebo
- John Frank Anton
- Trista Apache
- Cynthia B Apodaca
- Felicia Apodaca
- Hannah Apodaca
- Jason Apodaca
- Jill E. Apodaca
- Lucille L Apodaca
All providers in Rio Rancho, NM · Clinical Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.