Individual provider Active NPI

Elianne Esperanza Myers, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1679353486
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2024-0911 Issued in NM
Practice address
4805 Los Serranos CT NW
Albuquerque, NM 87120-2807
Phone
(505) 639-9326
NPI assigned
Oct 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 117662 NY
Clinical Social Worker 1041C0700X 014400 CT
Clinical Social Worker 1041C0700X SWB-2024-0911 NM Primary

Addresses

Primary practice location

4805 Los Serranos CT NW
Albuquerque, NM 87120-2807

Mailing address

4805 Los Serranos CT NW
Albuquerque, NM 87120-2807
Phone (505) 639-9326

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241223000332 NM Practitioner - Clinical Social Worker 1951838432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GD Psych Services, LLCGroup PAC ID 6204260474, 18 clinicians

Practice addresses (Care Compare)

2200 Grande Blvd SE
Suite B
Rio Rancho, NM 87124-1695
Phone (505) 218-6383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117662NYMDSocial Worker
014400CTMDClinical Social Worker
SWB-2024-0911NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
GD Psych Services, LLC CurrentSince Nov 5, 2024 Accepting new patients

Locations

2200 Grande Blvd SE
Ste B
Rio Rancho, NM 87124
Phone (505) 218-6383

4200 Meadowlark Ln SE
Ste 1A
Rio Rancho, NM 87124

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1679353486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 LOS SERRANOS CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202807",
            "telephone_number": "505-639-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 LOS SERRANOS CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202807",
            "telephone_number": "505-639-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "ELIANNE",
        "middle_name": "ESPERANZA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "117662",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "014400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2024-0911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.