Active NPI
Susan Marie Buechele, LCSW
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1639464704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-08438
- Practice address
- 13701 Skyline Rd NE
Albuquerque, NM 87123-2327 - Phone
- (505) 463-7923
- Fax
- (505) 944-1073
- NPI assigned
- Jun 16, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I08438 | NM | |
| Clinical Social Worker | 1041C0700X | X-07376 | NM | |
| Clinical Social Worker | 1041C0700X | M-07725 | NM | |
| Clinical Social Worker | 1041C0700X | C-08438 | NM | Primary |
Addresses
Primary practice location
13701 Skyline Rd NE
Albuquerque, NM 87123-2327
Mailing address
5 Steeplechase Dr
Tijeras, NM 87059-5011
Phone (505) 463-7923
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-08438 | NM | MD | Clinical Social Worker |
| I08438 | NM | MD | Clinical Social Worker |
| M-07725 | NM | MD | Clinical Social Worker |
| X-07376 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1639464704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 STEEPLECHASE DR",
"city": "TIJERAS",
"state": "NM",
"postal_code": "870595011",
"telephone_number": "505-463-7923",
"fax_number": "505-944-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13701 SKYLINE RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871232327",
"telephone_number": "505-463-7923",
"fax_number": "505-944-1073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUECHELE",
"first_name": "SUSAN",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-16",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I08438",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "X-07376",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "M-07725",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-08438",
"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 6, 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.