New Mexico Center for Empowerment and Mood Support LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NEW MEXICO CENTER FOR EMPOWERMENT AND MOOD SUPPORT LLC

Practice address

11930 Menaul Blvd NE Ste 220a
Albuquerque, NM 87112-2461

Phone

(505) 401-0520

NPI assigned

May 31, 2019

Organization subpart

No

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

Authorized official

Name

Andrew R Dubach, LCSWNPI 1922456235

Title

Owner/Licensed Clinical Social Work

Phone

(505) 401-0520

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew R Dubach, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1922456235
  NPD (past) Authorized official

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1508424987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530B HARKLE RD # 100",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054739",
            "telephone_number": "505-401-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 MENAUL BLVD NE STE 220A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122461",
            "telephone_number": "505-401-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO CENTER FOR EMPOWERMENT AND MOOD SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "DUBACH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/LICENSED CLINICAL SOCIAL WORK",
        "authorized_official_telephone_number": "505-401-0520",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adubach@nmempowermentandmoodsupport.com",
            "affiliation": "N",
            "endpointDescription": "Secure Agency Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "11930 Menaul Blvd NE Ste 220A",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871122461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.