Sarah Rebecca Bales, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-10834 Issued in NM

Practice address

411 1/2 S 3Rd St
Raton, NM 87740

Phone

(575) 303-2260

Fax

(575) 303-4624

NPI assigned

Feb 26, 2018

Last updated

May 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Cardinal Path Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Raton, NM
  • NPI 1861037087
  Authorized official Same address or phone

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1538660428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1343",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877401343",
            "telephone_number": "323-480-3710",
            "fax_number": "575-221-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 1/2 S 3RD ST",
            "city": "RATON",
            "state": "NM",
            "postal_code": "87740",
            "telephone_number": "575-303-2260",
            "fax_number": "575-303-4624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2127 Palos Ct",
            "address_purpose": "LOCATION",
            "city": "Newbury Park",
            "state": "CA",
            "postal_code": "913203335",
            "country_code": "US",
            "telephone_number": "323-480-3710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Cook Ave Apt 2-B",
            "address_purpose": "LOCATION",
            "city": "Raton",
            "state": "NM",
            "postal_code": "87740",
            "country_code": "US",
            "telephone_number": "323-480-3710",
            "fax_number": "575-221-5561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALES",
        "first_name": "SARAH",
        "middle_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2021-05-07",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-17913",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW-96025",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M Avila
• Josephine T. Bachicha, CASE MANAGER
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• Badger Health Corp (The Medicine Shoppe Pharmacy)
• John Claude Bagwell, MD
• Kortney Barber
• Charles Emmanuel Barkley, RPH
• Lindsay Barnett
• Mark H Bayliss, PA-C
• Beehive Homes of Raton (M and M Care LLC)

• Clinical Social Worker in Raton, NM
• Providers in Raton, 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 7, 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.