Active NPI
Raeanne Snow
- Social Worker
- Albuquerque, NM
National Provider Identifier
1245091883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SWB-2024-0373
- Practice address
- 1721 Girard Blvd NE
Albuquerque, NM 87106-1718 - Phone
- (505) 318-2051
- NPI assigned
- Jan 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SWB-2024-0373 | NM | Primary |
Addresses
Primary practice location
1721 Girard Blvd NE
Albuquerque, NM 87106-1718
Mailing address
121 Terrace St SE Apt a
Albuquerque, NM 87106-5406
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
| License | State | Type | Specialty |
|---|---|---|---|
| SWB-2024-0373 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1245091883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 TERRACE ST SE APT A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871065406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 GIRARD BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871061718",
"telephone_number": "505-318-2051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOW",
"first_name": "RAEANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-22",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "SWB-2024-0373",
"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 Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.