Individual provider Active NPI

Bailee Olivia Vanantwerp, LCSW

  • Clinical Social Worker
  • Rio Rancho, NM
National Provider Identifier
1316762719
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2025-1160 Issued in NM
Practice address
4101 Barbara Loop SE Ste C
Rio Rancho, NM 87124-1011
Phone
(505) 933-1978
NPI assigned
Nov 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 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-2025-1160 NM Primary

Addresses

Primary practice location

4101 Barbara Loop SE Ste C
Rio Rancho, NM 87124-1011

Mailing address

7510 Montgomery Blvd NE Ste 202
Albuquerque, NM 87109-1500
Phone (505) 933-1978

Other practice location 1

7510 Montgomery Blvd NE Ste 202
Albuquerque, NM 87109-1500
Phone (505) 933-1978

Other identifiers 1

IdentifierTypeStateIssuer
N0008167MedicaidNM

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

LicenseStateTypeSpecialty
SWB-2025-1160NMMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1316762719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 MONTGOMERY BLVD NE STE 202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091500",
            "telephone_number": "505-933-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 BARBARA LOOP SE STE C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241011",
            "telephone_number": "505-933-1978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7510 Montgomery Blvd NE Ste 202",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871091500",
            "country_code": "US",
            "telephone_number": "505-933-1978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANANTWERP",
        "first_name": "BAILEE",
        "middle_name": "OLIVIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2025-1160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0008167",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.