Individual provider Active NPI

Gailbriel C Jenkins, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1235663923
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106397 Issued in TX
Practice address
3301 Candelaria Rd NE Ste B
Albuquerque, NM 87107-1965
Phone
(505) 273-6300
NPI assigned
Apr 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X
Clinical Social Worker 1041C0700X 106397 TX Primary
Clinical Social Worker 1041C0700X TX

Addresses

Primary practice location

3301 Candelaria Rd NE Ste B
Albuquerque, NM 87107-1965

Mailing address

3301 Candelaria Rd NE Ste B
Albuquerque, NM 87107-1965
Phone (505) 273-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250708001137 TX Practitioner - Clinical Social Worker 6103330675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1534 N Hampton Rd
Suite 200
Desoto, TX 75115-2493
Phone (469) 941-4067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Counseling and Rehabilitation Services, Incorporated Clinical CurrentSince Apr 28, 2025 Accepting new patients
The Community Lighthouse Past Accepting new patients
The Community Lighthouse Past Accepting new patients

Locations

1534 N Hampton Rd
#200
Desoto, TX 75115
Phone (469) 941-4067

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": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1235663923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 CANDELARIA RD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071965",
            "telephone_number": "505-273-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 CANDELARIA RD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071965",
            "telephone_number": "505-273-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "GAILBRIEL",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "106397",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.