Individual provider Active NPI

Alexandria N Rubio, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1417458746
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2024-0508 Issued in NM
Practice address
705 Mountain Rd NW Ste F
Albuquerque, NM 87102-2070
Phone
(505) 750-2411
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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-2024-0508 NM Primary

Addresses

Primary practice location

705 Mountain Rd NW Ste F
Albuquerque, NM 87102-2070

Mailing address

705 Mountain Rd NW Ste F
Albuquerque, NM 87102-2070
Phone (505) 414-0423

Other identifiers 1

IdentifierTypeStateIssuer
1053125146MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2024-0508NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Space Healing Clinical CurrentSince Mar 20, 2025 Accepting new patients

Locations

4010 Carlisle Blvd NE
Ste F
Albuquerque, NM 87107
Phone (505) 301-5297

705 Mountain Rd NW
Ste F
Albuquerque, NM 87102

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1417458746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MOUNTAIN RD NW STE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022070",
            "telephone_number": "505-414-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MOUNTAIN RD NW STE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022070",
            "telephone_number": "505-750-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "ALEXANDRIA",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2024-0508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053125146",
            "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 Aug 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.