Charlene Analla

Individual provider Active NPI Clinical Social Worker · Albuquerque, NM

NPI 1629675632 · NPPES record last updated Oct 2, 2020

Key facts

NPI
1629675632
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
X-11679 (NM)
Practice address
1201 3Rd St NW
Albuquerque, NM 87102-1403
Phone
(575) 322-8263
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
X-11679NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Martins Past
since Oct 4, 2020
Accepting new patients
Hopeworks Past
since Oct 4, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X X-11679 NM Yes

Addresses

Primary practice location

1201 3Rd St NW
Albuquerque, NM 87102-1403

Mailing address

PO Box 27258
Albuquerque, NM 87125-7258
Phone (505) 242-4399

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Clinical Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.