Individual provider Active NPI

Lee S. Shuster, LISW, LCSW

  • Clinical Social Worker
  • Corrales, NM
National Provider Identifier
1285703181
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-07939 Issued in NM
Practice address
4313 Corrales Rd
Corrales, NM 87048-8663
Phone
(505) 850-2684
Fax
(505) 899-4306
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 36870 TX
Clinical Social Worker 1041C0700X I-07939 NM Primary

Addresses

Primary practice location

4313 Corrales Rd
Corrales, NM 87048-8663

Mailing address

218 Ashley LN
Corrales, NM 87048-8923
Phone (505) 850-2684

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
I20121016000006 NM Practitioner - Clinical Social Worker 1153571898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

1325 Wyoming Blvd NE
Albuquerque, NM 87112-5046
Phone (505) 291-5300

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36870TXMDPsychologist
I-07939NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Zia Community Cares, LLC Clinical CurrentSince May 30, 2020 Accepting new patients

Locations

1610 San Pedro Dr NE
Albuquerque, NM 87110

5400 Gibson Blvd SE
Ste 11
Albuquerque, NM 87108
Phone (505) 832-7141

Organizations & group practices 2

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1285703181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 ASHLEY LN",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870488923",
            "telephone_number": "505-850-2684",
            "fax_number": "505-899-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 CORRALES RD",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870488663",
            "telephone_number": "505-850-2684",
            "fax_number": "505-899-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSTER",
        "first_name": "LEE",
        "middle_name": "S.",
        "credential": "LISW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "36870",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-07939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corrales, NM

Sources for this page

Verify at the official NPI Registry.