Active NPI
Annette Jessica Munoz, LMSW
- Social Worker
- Albuquerque, NM
National Provider Identifier
1578103263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- X-11233
- Practice address
- 5310 Homestead Rd NE Ste 300
Albuquerque, NM 87110-1524 - Phone
- (505) 503-6838
- Fax
- (505) 369-1292
- NPI assigned
- Jan 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | X-11233 | NM | Primary |
Addresses
Primary practice location
5310 Homestead Rd NE Ste 300
Albuquerque, NM 87110-1524
Mailing address
9 Fir LN
Edgewood, NM 87015-7121
Phone (505) 818-3029
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X-11233 | NM | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bosque Mental Health Associates, Inc. | Current | Accepting new patients |
Locations
5310 Homestead Rd NE
Ste 300
Albuquerque, NM 87110
Phone (505) 503-6838
Organizations & group practices 1
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.
-
- Counselor
- Albuquerque, NM
- NPI 1982733226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1578103263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 FIR LN",
"city": "EDGEWOOD",
"state": "NM",
"postal_code": "870157121",
"telephone_number": "505-818-3029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5310 HOMESTEAD RD NE STE 300",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101524",
"telephone_number": "505-503-6838",
"fax_number": "505-369-1292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ",
"first_name": "ANNETTE",
"middle_name": "JESSICA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-09",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "X-11233",
"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 Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.