Organization Active NPI

SW Therapy LLC

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1306445945
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SW THERAPY LLC
Practice address
2113 Alhambra Ave SW
Albuquerque, NM 87104-1601
Phone
(575) 770-1073
NPI assigned
Oct 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Mari-Anne Chaney
Title
Office Manager
Phone
(505) 315-3128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2113 Alhambra Ave SW
Albuquerque, NM 87104-1601

Mailing address

PO Box 26372
Albuquerque, NM 87125-6372
Phone (575) 770-1700

Other identifiers 1

IdentifierTypeStateIssuer
42685222MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240515003310 NM Part B Supplier - Clinic/Group Practice 5698116010 Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1306445945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26372",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256372",
            "telephone_number": "575-770-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 ALHAMBRA AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041601",
            "telephone_number": "575-770-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-24",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "CHANEY",
        "authorized_official_first_name": "MARI-ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-315-3128"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42685222",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.