Individual provider Active NPI

Ingrid Lucia Bisbee, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1467953570
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-11350 Issued in NM
Practice address
901 Rio Grande Blvd NW Ste G252
Albuquerque, NM 87104-2059
Phone
(505) 249-2798
Fax
(505) 254-9911
NPI assigned
Feb 23, 2018
Last updated
May 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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 C-11350 NM Primary

Addresses

Primary practice location

901 Rio Grande Blvd NW Ste G252
Albuquerque, NM 87104-2059

Mailing address

901 Rio Grande Blvd NW Ste G252
Albuquerque, NM 87104-2059
Phone (057) 028-1125

Other identifiers 1

IdentifierTypeStateIssuer
16755766MedicaidNM

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
I20201228000776 NM Practitioner - Clinical Social Worker 5698187797 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trail Ahead Therapy LLCGroup PAC ID 4789096884, 2 clinicians

Practice addresses (Care Compare)

901 Rio Grande Blvd NW
Suite G252
Albuquerque, NM 87104-2050
Phone (505) 249-2798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trail Ahead Therapy, LLC Social Worker CurrentSince Nov 20, 2020 Accepting new patients
Healthy Families of Albuquerque LLC Clinical CurrentSince Nov 1, 2020 Accepting new patients

Locations

142 Truman St NE
Ste C
Albuquerque, NM 87108
Phone (505) 249-2798

1803 Carlisle Blvd NE
Albuquerque, NM 87110
Phone (505) 842-9911

901 Rio Grande Blvd NW
Ste G252
Albuquerque, NM 87104
Phone (505) 249-2798

2055 S Pacheco St
Ste 500
Santa Fe, NM 87505
Phone (505) 424-0200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1467953570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 RIO GRANDE BLVD NW STE G252",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042059",
            "telephone_number": "057-028-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RIO GRANDE BLVD NW STE G252",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042059",
            "telephone_number": "505-249-2798",
            "fax_number": "505-254-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISBEE",
        "first_name": "INGRID",
        "middle_name": "LUCIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-11350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16755766",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.