Individual provider Active NPI

Merlinda Carmen Rose, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1285222455
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2024-1244 Issued in NM
Practice address
3212 Monte Vista Blvd NE
Albuquerque, NM 87106-2120
Phone
(505) 340-3748
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 SWB-2024-1244 NM Primary

Addresses

Primary practice location

3212 Monte Vista Blvd NE
Albuquerque, NM 87106-2120

Mailing address

3212 Monte Vista Blvd NE
Albuquerque, NM 87106-2120
Phone (505) 340-3748

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
I20260115003622 NM Practitioner - Clinical Social Worker 2860979267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13 Seclusion CT
Sandia Park, NM 87047-9532

3212 Monte Vista Blvd NE
Albuquerque, NM 87106-2120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2024-1244NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bonni Amsden CurrentSince Nov 17, 2025 Accepting new patients
Perfectly Imperfect PastSince Aug 28, 2021 Accepting new patients
Perfectly Imperfect PastSince Jan 1, 2021 Accepting new patients

Locations

3212 Monte Vista Blvd NE
Albuquerque, NM 87106
Phone (505) 266-0388

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": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1285222455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 MONTE VISTA BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062120",
            "telephone_number": "505-340-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 MONTE VISTA BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062120",
            "telephone_number": "505-340-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MERLINDA",
        "middle_name": "CARMEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2024-1244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.