Elizabeth Diesel, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-11630 Issued in NM

Practice address

1020 Lafayette Dr NE
Albuquerque, NM 87106-1902

Phone

(505) 600-1178

NPI assigned

Aug 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integrate Wellness Center LLC

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1376232934
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1659770246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MEDICAL ARTS AVE NE",
            "address_2": "BLDG 3-100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022706",
            "telephone_number": "505-842-5300",
            "fax_number": "505-998-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LAFAYETTE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061902",
            "telephone_number": "505-600-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIESEL",
        "first_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-11630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele R Dicubellis, MSW
• Diego Gonzalez MD PC
• Diego J Gonzalez MD PC
• Sean M Diener, NP
• Kathy Dieruf, PT
• Timothy Sean Diesel, DOM, PA-C
• Daniel John Dieterichs, OD
• Dietitiansabq
• Charles Dietl, MD
• Matthias A Dietrich

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.