Individual provider Active NPI

Lucy A Birbiglia, LCSW LISW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1437221439
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I06435 Issued in NM
Practice address
12836 Lomas Blvd NE
Suite B
Albuquerque, NM 87112-6210
Phone
(505) 307-3718
NPI assigned
Nov 14, 2006
Last updated
Dec 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I06435 NM Primary
Clinical Social Worker 1041C0700X 0114091 NY

Addresses

Primary practice location

12836 Lomas Blvd NE
Suite B
Albuquerque, NM 87112-6210

Mailing address

1716 Alvarado Dr NE
Apt. B
Albuquerque, NM 87110-6562
Phone (505) 323-2190

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
I20100324000048 NM Practitioner - Clinical Social Worker 5294860615 Practice locations: Albuquerque, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12836 Lomas Blvd NE
Suite B
Albuquerque, NM 87112-6200
Phone (505) 307-3718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I06435NMMDClinical Social Worker
0114091NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1437221439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 ALVARADO DR NE",
            "address_2": "APT. B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106562",
            "telephone_number": "505-323-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12836 LOMAS BLVD NE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871126210",
            "telephone_number": "505-307-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRBIGLIA",
        "first_name": "LUCY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I06435",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0114091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.