Clinton Charles Stein, BSW, LSAA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CSA0175251 Issued in NM

Practice address

123 Madeira Dr SE
Albuquerque, NM 87108-2963

Phone

(505) 262-1538

Fax

(505) 243-5342

NPI assigned

Mar 18, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Albuquerque Treatment Services LLC

  • Methadone Clinic
  • Albuquerque, NM
  • NPI 1801032958
  NPD

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1457937781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DRIFTER CT",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317501",
            "telephone_number": "505-250-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MADEIRA DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082963",
            "telephone_number": "505-262-1538",
            "fax_number": "505-243-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "CLINTON",
        "middle_name": "CHARLES",
        "credential": "BSW, LSAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CSA0175251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Stehr, MASSAGE THERAPIST
• Donald Emerson Stehr, M.D.
• Craig T. Steichen, DDS
• Keith Alan Steichen, MD
• Alexandra Myrah Stein, MD
• Elizabeth Nora Stein, LCSW
• William Stein IV, MD
• Phillip J Steinbaugh, PA C
• Jonah Steinberg
• Kate Steinberg, O.T.R./C.H.T.

• Addiction (Substance Use Disorder) Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.