Individual provider Active NPI

Reynaldo J. Lobato, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1457343386
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-10739 Issued in NM
Practice address
5608 Zuni Rd SE
Albuquerque, NM 87108
Phone
(505) 262-6597
Fax
(505) 265-7074
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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 991828 CO
Clinical Social Worker 1041C0700X C-10739 NM Primary

Addresses

Primary practice location

5608 Zuni Rd SE
Albuquerque, NM 87108

Mailing address

5608 Zuni Rd SE
Albuquerque, NM 87108-2926
Phone (505) 262-6597

Other practice location 1

75 Meade St
Denver, CO 80219-1351
Phone (303) 504-1900

Other practice location 2

5608 Zuni Rd SE
Albuquerque, NM 87108
Phone (505) 262-6597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
991828COMDClinical Social Worker
C-10739NMMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1457343386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 ZUNI RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082926",
            "telephone_number": "505-262-6597",
            "fax_number": "505-265-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 ZUNI RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87108",
            "telephone_number": "505-262-6597",
            "fax_number": "505-265-7074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Meade St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802191351",
            "country_code": "US",
            "telephone_number": "303-504-1900",
            "fax_number": "303-935-0294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5608 Zuni Rd SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87108",
            "country_code": "US",
            "telephone_number": "505-262-6597",
            "fax_number": "505-265-7074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOBATO",
        "first_name": "REYNALDO",
        "middle_name": "J.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "991828",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.