Individual provider Active NPI

Rebecca Paskind, LCSW, PHD

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1477948164
Registry record updated Sep 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW00991504 Issued in CO
Practice address
215 Montclaire Dr NE
Albuquerque, NM 87108-1123
Phone
(720) 394-1628
Fax
(720) 394-1628
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2021

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 CSW00991504 CO Primary

Addresses

Primary practice location

215 Montclaire Dr NE
Albuquerque, NM 87108-1123

Mailing address

215 Montclaire Dr NE
Albuquerque, NM 87108-1123
Phone (720) 394-1628

Other practice location 1

6314 Corinth Rd
Longmont, CO 80503-9029
Phone (720) 394-1628

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CSW00991504COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1477948164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MONTCLAIRE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081123",
            "telephone_number": "720-394-1628",
            "fax_number": "720-394-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MONTCLAIRE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081123",
            "telephone_number": "720-394-1628",
            "fax_number": "720-394-1628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6314 Corinth Rd",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805039029",
            "country_code": "US",
            "telephone_number": "720-394-1628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASKIND",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "LCSW, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW00991504",
            "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 Sep 6, 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.