Beth O'Rourke, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-4360 Issued in NM

Practice address

301 Graceland Dr SE Ste E
Albuquerque, NM 87108-2778

Phone

(505) 255-1756

Fax

(505) 255-1293

NPI assigned

Jan 1, 2007

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396802443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GRACELAND DR SE STE E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082778",
            "telephone_number": "505-255-1756",
            "fax_number": "505-255-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GRACELAND DR SE STE E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082778",
            "telephone_number": "505-255-1756",
            "fax_number": "505-255-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "BETH",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-4360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D4179",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celeste Loveland O'Neill, KT, CWK
• Gloria O'Neill
• Madeleine O'Neill
• Shannon E O'Neill, LMHC
• Edward J O'Reilly, MD
• Tracy Kay O'Shea, APRN-CNP #58842
• Amanda Danielle O'Sickey, FNP-C
• Oak Street Health Physicians Group of New Mexico LLC
• Miranda Nyrie Oakeley, FNP-BC
• Barbara Oakland, PA

• 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 Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.