Trina Zahller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-09883 Issued in NM

Practice address

1129 Hupmobile Dr NE
Albuquerque, NM 87123-1875

Phone

(505) 750-0744

NPI assigned

Jan 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mindbodyhome NM, LLC

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1417802497
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1679113245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 HUPMOBILE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231875",
            "telephone_number": "505-750-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 HUPMOBILE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231875",
            "telephone_number": "505-750-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHLLER",
        "first_name": "TRINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mindbodyhomenm.com",
            "affiliation": "N",
            "endpointDescription": "Professional email addres",
            "address_1": "1129 Hupmobile Dr NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871231875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dara Zafran
• Phillip Zager, MD
• Zagreus LLC
• Anastasiya Zagurskaya, O.D.
• Valencia Zah, LCSW
• Muhammad Imran Zaib
• Ahmad Zamanian, PHARM.D.
• Mahmood Reza Zamanian, MD
• Mohammad R Zamanian, PHARM.D.
• Michelle Zamarron

• 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 Jan 13, 2020; 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.