Individual provider Active NPI

Ann F Flosdorf, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1376681544
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R026187 Issued in NY
Practice address
9301 Indian School Rd NE
Ste 200F
Albuquerque, NM 87112-2884
Phone
(585) 329-6205
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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 R026187 NY Primary

Addresses

Primary practice location

9301 Indian School Rd NE
Ste 200F
Albuquerque, NM 87112-2884

Mailing address

6001 Moon St NE
Apt 1523
Albuquerque, NM 87111-1453
Phone (585) 329-6205

Other names 1

  • Mrs. Ann F Flosdorf-Mitchell Former name

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
I20210818003700 NM Practitioner - Clinical Social Worker 5092815308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9301 Indian School Rd NE
Suite 200F
Albuquerque, NM 87112-2884
Phone (585) 329-6205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R026187NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Flosdorf Psychotherapy,LLC Clinical CurrentSince Jul 12, 2021 Accepting new patients
Cyd Davis-Hubler LLC CurrentSince Jul 12, 2021 Accepting new patients

Locations

9301 Indian School Rd NE
Ste 200F
Albuquerque, NM 87112
Phone (505) 308-2028

Organizations & group practices 2

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1376681544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 MOON ST NE",
            "address_2": "APT 1523",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111453",
            "telephone_number": "585-329-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 INDIAN SCHOOL RD NE",
            "address_2": "STE 200F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122884",
            "telephone_number": "585-329-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOSDORF",
        "first_name": "ANN",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R026187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "FLOSDORF-MITCHELL",
            "middle_name": "F",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.