Active NPI
Amy Kathryn Neal, LISW-CP
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1285277186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13326
- Practice address
- 1501 San Pedro Dr SE
Albuquerque, NM 87108-5180 - Phone
- (505) 265-1711
- Fax
- (505) 256-6414
- NPI assigned
- Oct 23, 2019
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 13326 | SC | Primary |
Addresses
Primary practice location
1501 San Pedro Dr SE
Albuquerque, NM 87108-5180
Mailing address
4702 Guadalupe TRL NW
Albuquerque, NM 87107-3300
Phone (402) 210-9143
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 |
|---|---|---|---|
| 13326 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1285277186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4702 GUADALUPE TRL NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871073300",
"telephone_number": "402-210-9143",
"fax_number": "505-256-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SAN PEDRO DR SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871085180",
"telephone_number": "505-265-1711",
"fax_number": "505-256-6414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "AMY",
"middle_name": "KATHRYN",
"credential": "LISW-CP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "13326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
- Daniel Joseph Nazon, M.D.
- NCS Healthcare of New Mexico, LLC (Omnicare of Albuquerque)
- Lovette Agatha Agbomma Ndubisi
- NE Heights Modern Dentistry, LLC (NE Heights Modern Dentistry)
- Neal P. Sirwinski, Inc.
- George David Neal, MD
- Jamie Sue Neal
- Melissa Neal, DPT
- Richard Neal, LMHC
- Susan Marie Neal, SUSAN NEAL LPAT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.