Active NPI
Debra Sugar, SW
- Social Worker
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I 5704
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52826350 | Medicaid | NM |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| I 5704 | NM | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bosque Mental Health Associates, Inc. | Current | 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.
-
- Counselor
- Albuquerque, NM
- NPI 1982733226
-
- Psychiatric/Mental Health Registered Nurse
- Albuquerque, NM
- NPI 1831514520
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.