Individual provider Active NPI

Jennifer C. McCash, LISW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1366532491
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-05551 Issued in NM
Practice address
301 Graceland SE
Ste D
Albuquerque, NM 87108
Phone
(505) 203-8953
Fax
(505) 344-8677
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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 I-05551 NM Primary

Addresses

Primary practice location

301 Graceland SE
Ste D
Albuquerque, NM 87108

Mailing address

301 Graceland SE
Ste D
Albuquerque, NM 87108
Phone (505) 203-8953

Other identifiers 1

IdentifierTypeStateIssuer
VNM00306MedicaidNM

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
I20160316002435 NM Practitioner - Clinical Social Worker 4880990803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8405 4TH St NW
Albuquerque, NM 87114-1018
Phone (505) 203-8953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-05551NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer McCash Inc. CurrentSince Jan 9, 2016 Accepting new patients

Locations

301 Graceland Dr SE
Ste D
Albuquerque, NM 87108
Phone (505) 203-8953

300 Menaul Blvd NW
Ste A
Albuquerque, NM 87107

8405 4th St NW
Los Ranchos, NM 87114
Phone (505) 203-8953

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1366532491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GRACELAND SE",
            "address_2": "STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87108",
            "telephone_number": "505-203-8953",
            "fax_number": "505-344-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GRACELAND SE",
            "address_2": "STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87108",
            "telephone_number": "505-203-8953",
            "fax_number": "505-344-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCASH",
        "first_name": "JENNIFER",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-05551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VNM00306",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.