Individual provider Active NPI

Rachael Elebario, SW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1336328871
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-07472 Issued in NM
Practice address
1820 Valdora Rd SW
Ernie Pyle Ms
Albuquerque, NM 87105-4551
Phone
(505) 877-3770
NPI assigned
Nov 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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 I-07472 NM Primary
School Social Worker 1041S0200X I-07472 NM

Addresses

Primary practice location

1820 Valdora Rd SW
Ernie Pyle Ms
Albuquerque, NM 87105-4551

Mailing address

1820 Valdora Rd SW
Ernie Pyle Ms
Albuquerque, NM 87105-4551
Phone (505) 877-3770

Other identifiers 1

IdentifierTypeStateIssuer
69603324MedicaidNM

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
I20151231000141 NM Practitioner - Clinical Social Worker 2567764954 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-07472NMMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Families of Albuquerque LLC Clinical CurrentSince Dec 24, 2015 Accepting new patients

Locations

1803 Carlisle Blvd NE
Albuquerque, NM 87110
Phone (505) 842-9911

Organizations & group practices 1

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": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1336328871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 VALDORA RD SW",
            "address_2": "ERNIE PYLE MS",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054551",
            "telephone_number": "505-877-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 VALDORA RD SW",
            "address_2": "ERNIE PYLE MS",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054551",
            "telephone_number": "505-877-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEBARIO",
        "first_name": "RACHAEL",
        "credential": "SW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-07472",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "I-07472",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69603324",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.