Individual provider Active NPI

Jorge Oscar Brozicevich, MSW

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1437614377
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
X-11468 Issued in NM
Practice address
961 Alameda Rd NW
Albuquerque, NM 87114-1901
Phone
(505) 273-0566
NPI assigned
Feb 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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 X-11468 NM Primary

Addresses

Primary practice location

961 Alameda Rd NW
Albuquerque, NM 87114-1901

Mailing address

961 Alameda Rd NW
Albuquerque, NM 87114-1901
Phone (505) 273-0566

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
I20250724000480 NM Practitioner - Clinical Social Worker 0244746386 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X-11468NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alter Integration CurrentSince Jun 1, 2025 Accepting new patients

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": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1437614377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 ALAMEDA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141901",
            "telephone_number": "505-273-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 ALAMEDA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141901",
            "telephone_number": "505-273-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROZICEVICH",
        "first_name": "JORGE",
        "middle_name": "OSCAR",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-05",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X-11468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.