Individual provider Active NPI

Ashley Dawn Huppertz, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1407428162
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2022-0866 Issued in NM
Practice address
1709 Moon St NE
Albuquerque, NM 87112-3935
Phone
(505) 271-0329
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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 SWB-2022-0866 NM Primary

Addresses

Primary practice location

1709 Moon St NE
Albuquerque, NM 87112-3935

Mailing address

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

Other practice location 1

8401 Constitution Ave NE
Albuquerque, NM 87110-7604
Phone (505) 271-0329

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
I20231227001536 NM Practitioner - Mental Health Counselor 7214387679 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2022-0866NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Families of Albuquerque LLC Clinical CurrentSince Jan 1, 2024 Accepting new patients
Unica CurrentSince Apr 15, 2025 Accepting new patients
Rise Integrated Health LLC Past Accepting new patients

Locations

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

1645 University Blvd NE
Albuquerque, NM 87102
Phone (505) 542-1383

8401 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 271-0329

1803 Carlisle Blvd NE
Albuquerque, NM 87110
Phone (505) 842-9911

Organizations & group practices 3

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": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1407428162",
    "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": "1709 MOON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123935",
            "telephone_number": "505-271-0329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 Constitution Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871107604",
            "country_code": "US",
            "telephone_number": "505-271-0329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUPPERTZ",
        "first_name": "ASHLEY",
        "middle_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2022-0866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.