Individual provider Active NPI

Laura Grossman, SW

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1447388137
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I 5638 Issued in NM
Practice address
5341 Wyoming Blvd NE
Suite B
Albuquerque, NM 87109-3164
Phone
(505) 508-0197
Fax
(505) 508-0465
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I 5638 NM Primary
School Social Worker 1041S0200X I 5638 NM

Addresses

Primary practice location

5341 Wyoming Blvd NE
Suite B
Albuquerque, NM 87109-3164

Mailing address

7801 Candelaria Rd NE
Sandia HS
Albuquerque, NM 87110-3757
Phone (505) 294-1511

Other identifiers 1

IdentifierTypeStateIssuer
21253790MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260617001467 AZ Practitioner - Clinical Social Worker 4981916293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21388 N 106TH LN
Peoria, AZ 85382-0522

6129 E Milton Dr
Cave Creek, AZ 85331-6033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 5638NMMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alma BH LLC CurrentSince Mar 8, 2026 Accepting new patients
Apex Rising Community Services LLC PastSince Aug 16, 2020 Accepting new patients

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.

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": "1459900800000",
    "number": "1447388137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 CANDELARIA RD NE",
            "address_2": "SANDIA HS",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103757",
            "telephone_number": "505-294-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 WYOMING BLVD NE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093164",
            "telephone_number": "505-508-0197",
            "fax_number": "505-508-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "LAURA",
        "credential": "SW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "I 5638",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "I 5638",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21253790",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.