Nanette Denice Jurgensen, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SWB20240295 Issued in NM

Practice address

1200 Eubank Blvd NE
Albuquerque, NM 87112-5314

Phone

(505) 271-5050

NPI assigned

Aug 13, 2021

Last updated

Sep 27, 2024By 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 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Change Psychotherapy Institute, PC

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1740409135
  Medicare reassignment NPD
• Southwest Family Guidance Center LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Albuquerque, NM
  • NPI 1184748394

  Clinical

  NPD (past)

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1538834262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EUBANK BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125314",
            "telephone_number": "505-271-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EUBANK BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125314",
            "telephone_number": "505-271-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURGENSEN",
        "first_name": "NANETTE",
        "middle_name": "DENICE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB20240295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Jurado, MD
• Mireya Destiny Jurado, CCHW
• Sonia Jurado
• Cristi Jurata
• Jurgen H Upplegger MD PC
• Ashlea Jurish
• Alyeshka Liz Jusino- Acosta
• Just for Kids Dental
• Just Health Care LLC
• Just Rejuvenateen

• 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 Sep 27, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.