Individual provider Active NPI

Patricia L Korenchen, MSW,

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1407164437
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C08243 Issued in NM
Practice address
10925 Malaguena LN NE
Albuquerque, NM 87111
Phone
(505) 385-8496
NPI assigned
Sep 24, 2010
Last updated
Jun 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X X-06988 NM
Clinical Social Worker 1041C0700X C08243 NM Primary

Addresses

Primary practice location

10925 Malaguena LN NE
Albuquerque, NM 87111

Mailing address

1709 Moon St NE
Albuquerque, NM 87112-3935
Phone (505) 271-0329

Other practice location 1

1709 Moon St NE
Albuquerque, NM 87112-3935
Phone (505) 271-0329

Other identifiers 1

IdentifierTypeStateIssuer
79356052MedicaidNM

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
I20170221000851 NM Practitioner - Clinical Social Worker 0143504050 Reassigns benefits to 1 organization
Practice locations: Albuquerque, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11927 Menaul Blvd NE
101 Trish Korenchen Counseling LLC
Albuquerque, NM 87112-2457
Phone (505) 385-8496

5345 Wyoming Blvd NE
Suite 200F
Albuquerque, NM 87109-3239
Phone (505) 385-8496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C08243NMMDClinical Social Worker
X-06988NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trish Korenchen Counseling, LLC CurrentSince Sep 2, 2018 Accepting new patients

Locations

11927 Menaul Blvd NE
Ste 101
Albuquerque, NM 87112
Phone (505) 275-1155

5345 Wyoming Blvd NE
Ste 200F
Albuquerque, NM 87109
Phone (505) 385-8496

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, 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": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1407164437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 MOON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123935",
            "telephone_number": "505-271-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10925 MALAGUENA LN NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87111",
            "telephone_number": "505-385-8496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1709 Moon St NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871123935",
            "country_code": "US",
            "telephone_number": "505-271-0329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORENCHEN",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "credential": "MSW,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X-06988",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C08243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79356052",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.