Individual provider Active NPI

Debra Sugar, SW

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1407985955
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I 5704 Issued in NM
Practice address
2300 Menaul Blvd NE
Unm Center for Development & Disability
Albuquerque, NM 87107
Phone
(505) 272-3000
Fax
(505) 272-5280
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2012

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 I 5704 NM Primary

Addresses

Primary practice location

2300 Menaul Blvd NE
Unm Center for Development & Disability
Albuquerque, NM 87107

Mailing address

933 Bradbury Dr SE
Suite 2222
Albuquerque, NM 87106-4374
Phone (505) 272-3120

Other identifiers 1

IdentifierTypeStateIssuer
52826350MedicaidNM

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
I20120113000402 NM Practitioner - Clinical Social Worker 6406023472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Bosque Mental Health Associates IncGroup PAC ID 7719262492, 14 clinicians
Elevation Counseling LLCGroup PAC ID 6507209236, 19 clinicians

Practice addresses (Care Compare)

5310 Homestead Rd NE
Suite 300
Albuquerque, NM 87110-1524
Phone (505) 503-6838

6612 Gulton CT NE
Suite a
Albuquerque, NM 87109-4407
Phone (505) 888-1686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 5704NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bosque Mental Health Associates, Inc. CurrentSince May 30, 2024 Accepting new patients

Locations

5310 Homestead Rd NE
Ste 300
Albuquerque, NM 87110
Phone (505) 503-6838

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1407985955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 BRADBURY DR SE",
            "address_2": "SUITE 2222",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064374",
            "telephone_number": "505-272-3120",
            "fax_number": "505-272-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MENAUL BLVD NE",
            "address_2": "UNM CENTER FOR DEVELOPMENT & DISABILITY",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87107",
            "telephone_number": "505-272-3000",
            "fax_number": "505-272-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGAR",
        "first_name": "DEBRA",
        "credential": "SW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "I 5704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52826350",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.