Individual provider Active NPI

Christine Alethea Wade-Becher, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1447583935
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-07971 Issued in NM
Practice address
2901 Juan Tabo Blvd NE Ste E&F
Albuquerque, NM 87112-1886
Phone
(505) 220-3643
Fax
(855) 764-7379
NPI assigned
Sep 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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 I-07971 NM
Clinical Social Worker 1041C0700X C-07971 NM Primary

Addresses

Primary practice location

2901 Juan Tabo Blvd NE Ste E&F
Albuquerque, NM 87112-1886

Mailing address

PO Box 14837
Albuquerque, NM 87191-4837

Other identifiers 1

IdentifierTypeStateIssuer
64633349MedicaidNM

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
I20150203000640 NM Practitioner - Clinical Social Worker 7416272075 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-07971NMMDClinical Social Worker
I-07971NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Wade-Becher Therapy, LLC Clinical CurrentSince Feb 25, 2017 Accepting new patients

Locations

231 Sierra Dr SE
Albuquerque, NM 87108
Phone (505) 220-3463

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": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1447583935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14837",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871914837",
            "fax_number": "505-220-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 JUAN TABO BLVD NE STE E&F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121886",
            "telephone_number": "505-220-3643",
            "fax_number": "855-764-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE-BECHER",
        "first_name": "CHRISTINE",
        "middle_name": "ALETHEA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-07971",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-07971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64633349",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.