Active NPI
Ingrid Lucia Bisbee, LCSW
- Clinical Social Worker
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-11350
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16755766 | Medicaid | NM |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trail Ahead Therapy, LLC | Social Worker | Current | Accepting new patients |
| Healthy Families of Albuquerque LLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Albuquerque, NM
- NPI 1235733437
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1568790582
Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.