Individual provider Active NPI

Angelica Cravens

  • Clinical Social Worker
  • Rio Rancho, NM
National Provider Identifier
1255970620
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1207 Golf Course Rd SE Ste C
Rio Rancho, NM 87124-5213
Phone
(505) 994-4100
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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 Primary

Addresses

Primary practice location

1207 Golf Course Rd SE Ste C
Rio Rancho, NM 87124-5213

Mailing address

1207 Golf Course Rd SE Ste C
Rio Rancho, NM 87124-5213
Phone (505) 994-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240202004021 NM Practitioner - Clinical Social Worker 8426491754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cravens Mental Health ServicesGroup PAC ID 8921543224, 2 clinicians

Practice addresses (Care Compare)

1101 Golf Course Rd SE
Suite 203
Rio Rancho, NM 87124-4731
Phone (505) 518-5757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cravens Mental Health Services CurrentSince Jun 1, 2024 Accepting new patients

Locations

1101 Golf Course Rd SE
Ste 203
Rio Rancho, NM 87124
Phone (505) 225-7040

1005 21st St SE
Ste 14
Rio Rancho, NM 87124
Phone (505) 518-5757

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": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1255970620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 GOLF COURSE RD SE STE C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245213",
            "telephone_number": "505-994-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 GOLF COURSE RD SE STE C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245213",
            "telephone_number": "505-994-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVENS",
        "first_name": "ANGELICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.