Diane R Mead, MSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0922 Issued in NM

Practice address

2727 San Pedro Dr NE
Ste 105
Albuquerque, NM 87110-3373

Phone

(505) 232-8404

Fax

(505) 884-1625

NPI assigned

Oct 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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, 1987

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Elevation Counseling LLCGroup PAC ID 6507209236, 19 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 and National Provider Directory roles.

• Elevation Counseling, LLC

  • Psychiatric/Mental Health Registered Nurse
  • Albuquerque, NM
  • NPI 1831514520

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1366430373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30024",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871900024",
            "telephone_number": "505-232-8404",
            "fax_number": "505-884-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 SAN PEDRO DR NE",
            "address_2": "STE 105",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103373",
            "telephone_number": "505-232-8404",
            "fax_number": "505-884-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "DIANE",
        "middle_name": "R",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-0922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "NMB2204",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95616",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MD Health Care LLC
• MD Holdings LLC
• MD Hospice LLC
• MD Urgent Care PC
• MD24 NM, Inc.
• Hilary Mead
• Lindsay Meade, LINDSAY MEADE
• Yvonne B Meade, BSW
• Daniel Joaquin Meaders
• Hallie Meador, MD

• 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 Oct 11, 2018; 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.