Individual provider Active NPI

Sandra Crane, LCSW

  • Social Worker
  • Las Cruces, NM
National Provider Identifier
1407090947
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
C4327 Issued in NM
Practice address
100 W Griggs Ave
Las Cruces, NM 88001-1234
Phone
(575) 522-7260
Fax
(575) 522-1355
NPI assigned
Apr 28, 2009
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X C4327 NM Primary

Addresses

Primary practice location

100 W Griggs Ave
Las Cruces, NM 88001-1234

Mailing address

100 W Griggs Ave
Las Cruces, NM 88001-1234
Phone (575) 522-7260

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
I20111031000535 NM Practitioner - Clinical Social Worker 3870763618 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zia Community Cares, LLCGroup PAC ID 9830510288, 6 clinicians
Border Area Mental Health Services, Inc.Group PAC ID 5193797587, 12 clinicians

Practice addresses (Care Compare)

1610 San Pedro Dr NE
Albuquerque, NM 87110-9812
Phone (505) 982-3113

315 S Hudson St
Suite 12
Silver City, NM 88061-6184
Phone (575) 388-4497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C4327NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Border Area Mental Health Services, Inc CurrentSince Oct 16, 2018 Accepting new patients
Zia Community Cares, LLC Social Worker CurrentSince May 1, 2020 Accepting new patients
New Mexico Health Options Past Accepting new patients

Locations

1610 San Pedro Dr NE
Albuquerque, NM 87110

5400 Gibson Blvd SE
Ste 11
Albuquerque, NM 87108
Phone (505) 832-7141

5400 Gibson Blvd SE
Ste 3B200
Albuquerque, NM 87108

401 Anthony Dr
Ste G
Anthony, NM 88021
Phone (832) 865-2183

429 E Olive St
Deming, NM 88030
Phone (505) 546-4115

100 W Griggs Ave
Las Cruces, NM 88001
Phone (505) 647-2800

315 S Hudson St
Ste 12
Silver City, NM 88061
Phone (575) 388-4497

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1407090947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W GRIGGS AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011234",
            "telephone_number": "575-522-7260",
            "fax_number": "575-522-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W GRIGGS AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011234",
            "telephone_number": "575-522-7260",
            "fax_number": "575-522-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "SANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "C4327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.