Individual provider Active NPI

Susan Marie Buechele, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1639464704
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-08438 Issued in NM
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

Updated by the provider on Jan 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
C-08438NMMDClinical Social Worker
I08438NMMDClinical Social Worker
M-07725NMMDClinical Social Worker
X-07376NMMDClinical 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.

Verify at the official NPI Registry.