Active NPI
Allyson Mae Granados, LCSW
- Social Worker
- Albuquerque, NM
National Provider Identifier
1629664735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SWB-2024-0614
- Practice address
- 901 Rio Grande Blvd NW Ste H160
Albuquerque, NM 87104-2063 - Phone
- (505) 278-0807
- NPI assigned
- Dec 14, 2020
- Sex
- Female
- Sole proprietor
- No
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 | SWB-2024-0614 | NM | Primary |
Addresses
Primary practice location
901 Rio Grande Blvd NW Ste H160
Albuquerque, NM 87104-2063
Mailing address
901 Rio Grande Blvd NW Ste H160
Albuquerque, NM 87104-2063
Phone (505) 278-0807
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 |
|---|---|---|---|
| SWB-2024-0614 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1629664735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 RIO GRANDE BLVD NW STE H160",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871042063",
"telephone_number": "505-278-0807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 RIO GRANDE BLVD NW STE H160",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871042063",
"telephone_number": "505-278-0807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANADOS",
"first_name": "ALLYSON",
"middle_name": "MAE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-14",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "SWB-2024-0614",
"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 Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.