Individual provider Active NPI

David Alexander Yu, LMSW

  • Clinical Social Worker
  • Hobbs, NM
National Provider Identifier
1427653625
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
M-11160 Issued in NM
Practice address
1601 N Turner St Ste 420
Hobbs, NM 88240-4337
Phone
(575) 391-0354
NPI assigned
Dec 3, 2020
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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 M-11160 NM Primary

Addresses

Primary practice location

1601 N Turner St Ste 420
Hobbs, NM 88240-4337

Mailing address

6120 Mosquero PL NW
Albuquerque, NM 87120-2271
Phone (505) 550-5133

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Hobbs Direct

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
I20240513001659 NM Practitioner - Clinical Social Worker 6608217393 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M-11160NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Behavioral Services of Albuquerque, LLC CurrentSince Apr 26, 2024 Accepting new patients

Locations

5400 Gibson Blvd SE
Ste 4
Albuquerque, NM 87108
Phone (505) 254-4500

3102 West End Ave
Ste 1000
Nashville, TN 37203

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": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1427653625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 MOSQUERO PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202271",
            "telephone_number": "505-550-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N TURNER ST STE 420",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882404337",
            "telephone_number": "575-391-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "DAVID",
        "middle_name": "ALEXANDER",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-11160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hobbs",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Hobbs",
            "address_1": "1601 N Turner St Ste 420",
            "city": "Hobbs",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882404337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

Verify at the official NPI Registry.