Individual provider Active NPI

Antoinette Kuehn, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1285914093
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-08175 Issued in NM
Practice address
1 University of New Mexico Building 73 Msc06 3870
Albuquerque, NM 87131
Phone
(505) 277-3136
NPI assigned
Aug 24, 2011
Last updated
Oct 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X M-06966 NM
Clinical Social Worker 1041C0700X C-08175 NM Primary

Addresses

Primary practice location

1 University of New Mexico Building 73 Msc06 3870
Albuquerque, NM 87131

Mailing address

36 Sierra Blanca
Cedar Crest, NM 87008-9445
Phone (505) 795-4334

Other practice location 1

123 Wellesley Dr SE
Albuquerque, NM 87106-1443
Phone (505) 795-4334

Other identifiers 4

IdentifierTypeStateIssuer
M-06966MedicaidNM
M-06966OtherNMLMSW
E7606OtherNMLMSW
E7606MedicaidNM

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
I20160525001528 NM Practitioner - Clinical Social Worker 5092004457 Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-08175NMMDClinical Social Worker
M-06966NMMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Student Health and Counseling PastSince Oct 6, 2019 Accepting new patients
Unm Hospital PastSince Oct 6, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1285914093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SIERRA BLANCA",
            "city": "CEDAR CREST",
            "state": "NM",
            "postal_code": "870089445",
            "telephone_number": "505-795-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY OF NEW MEXICO BUILDING 73 MSC06 3870",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87131",
            "telephone_number": "505-277-3136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Wellesley Dr SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871061443",
            "country_code": "US",
            "telephone_number": "505-795-4334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUEHN",
        "first_name": "ANTOINETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "M-06966",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-08175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M-06966",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "M-06966",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "E7606",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E7606",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.