Individual provider Active NPI

Jenna Leanne Miller

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1457637779
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
M-08047 Issued in NM
Practice address
1500 Mountain Rd NW
Albuquerque, NM 87104-1359
Phone
(505) 557-4656
Fax
(505) 514-0874
NPI assigned
Nov 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X M-08047 NM Primary

Addresses

Primary practice location

1500 Mountain Rd NW
Albuquerque, NM 87104-1359

Mailing address

724 Faircroft Rd NW
Albuquerque, NM 87120-5580
Phone (575) 640-1264

Other practice location 1

1709 Moon St NE
Albuquerque, NM 87112-3935
Phone (505) 271-0329

Other names 1

  • Jenna Barnes Former name

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
I20240222000320 NM Practitioner - Clinical Social Worker 2163866708 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M-08047NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Acceptance LLC Clinical CurrentSince Jan 10, 2024 Accepting new patients

Locations

500 Marquette Ave NW
Ste 360
Albuquerque, NM 87102
Phone (505) 557-4656

1500 Mountain Rd NW
Albuquerque, NM 87104
Phone (505) 557-4656

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": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1457637779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 FAIRCROFT RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205580",
            "telephone_number": "575-640-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MOUNTAIN RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041359",
            "telephone_number": "505-557-4656",
            "fax_number": "505-514-0874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1709 Moon St NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871123935",
            "country_code": "US",
            "telephone_number": "505-271-0329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNA",
        "middle_name": "LEANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-08047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "BARNES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.