Individual provider Active NPI

Karola Silke Loos, LMSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1497015069
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-09394 Issued in NM
Practice address
4308 Carlisle Blvd NE Ste 207
Albuquerque, NM 87107-4849
Phone
(505) 205-4500
NPI assigned
May 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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-09394 NM Primary

Addresses

Primary practice location

4308 Carlisle Blvd NE Ste 207
Albuquerque, NM 87107-4849

Mailing address

4308 Carlisle Blvd NE Ste 207
Albuquerque, NM 87107-4849
Phone (505) 205-4500

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
I20161123000086 NM Practitioner - Clinical Social Worker 3375822943 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dana Paine Enterprises LLC CurrentSince Mar 9, 2024 Accepting new patients
Robben R. Gingery, MD, LLC CurrentSince Sep 16, 2017 Accepting new patients

Locations

920 Cardenas Dr NE
#A
Albuquerque, NM 87108
Phone (505) 266-8168

920 Cardenas Dr NE
Albuquerque, NM 87108
Phone (505) 266-8166

1549 Stephanie Rd SE
Ste B
Rio Rancho, NM 87124
Phone (505) 200-9158

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1497015069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 CARLISLE BLVD NE STE 207",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074849",
            "telephone_number": "505-205-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 CARLISLE BLVD NE STE 207",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074849",
            "telephone_number": "505-205-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOS",
        "first_name": "KAROLA",
        "middle_name": "SILKE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.