Jamie Nathaniel Libertoff, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-07174 Issued in NM

Practice address

2001 N. Centro Familiar SW
Albuquerque, NM 87105

Phone

(505) 452-4028

Fax

(505) 877-4400

NPI assigned

Aug 8, 2007

Last updated

Mar 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Choice Community Healthcare, Inc.Group PAC ID 7315854049, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• First Choice Community Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Albuquerque, NM
  • NPI 1902993132
  Medicare reassignment Care Compare group NPD
• First Choice Community Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Albuquerque, NM
  • NPI 1447412796
  NPD (past)
• First Choice Community Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Los Lunas, NM
  • NPI 1649431834
  NPD (past)
• Sangre de Cristo Community Health Partnership

  • Addiction (Substance Use Disorder) Counselor
  • Santa Fe, NM
  • NPI 1003096264

  Mental Health

  NPD (past)
• State of New Mexico

  dba Department of Health Family Planning

  • Public Health or Welfare Agency
  • Santa Fe, NM
  • NPI 1134257249
  NPD (past)

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1326239864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 HOFFMAN DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106065",
            "telephone_number": "550-982-8870",
            "fax_number": "505-982-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N. CENTRO FAMILIAR SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87105",
            "telephone_number": "505-452-4028",
            "fax_number": "505-877-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERTOFF",
        "first_name": "JAMIE",
        "middle_name": "NATHANIEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "M06343",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-07174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Liano
• Jennifer Liao
• Liberateabq, LLC (LiberateABQ)
• Liberated Counseling LLC
• Stephanie Liberman
• Liberty New Mexico Partners 1, LLC (Liberty Dialysis - Albuquerque)
• Liberty New Mexico Partners 2, LLC (Liberty Dialysis - Rio Rancho)
• Emilie Gail Libson, AA-C
• Jorge Licano, MD
• Rosanne Marie Licata, LPC

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.