Individual provider Active NPI

Roquel Labatad, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1215439260
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-11602 Issued in NM
Practice address
2221 Rio Grande Blvd NW
Albuquerque, NM 87104-2529
Phone
(505) 203-5414
Fax
(505) 273-7770
NPI assigned
Mar 6, 2018
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X X-10344 NM
Clinical Social Worker 1041C0700X C-11602 NM Primary

Addresses

Primary practice location

2221 Rio Grande Blvd NW
Albuquerque, NM 87104-2529

Mailing address

2801 Mountain Rd NW Apt 1
Albuquerque, NM 87104-1754
Phone (505) 203-5414

Other practice location 1

901 Rio Grande Blvd NW Ste G250
Albuquerque, NM 87104-2059
Phone (505) 203-5414

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
X-10344NMMDSocial Worker
C-11602NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tender Hearts LLC Clinical Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1215439260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 MOUNTAIN RD NW APT 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041754",
            "telephone_number": "505-203-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 RIO GRANDE BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042529",
            "telephone_number": "505-203-5414",
            "fax_number": "505-273-7770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Rio Grande Blvd NW Ste G250",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871042059",
            "country_code": "US",
            "telephone_number": "505-203-5414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABATAD",
        "first_name": "ROQUEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X-10344",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-11602",
            "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 Sep 13, 2021; 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.