Active NPI
Alice Huang, LCSW, LISW
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1679852511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- X-07494
- Practice address
- 404 11TH St SW
Albuquerque, NM 87102-2988 - Phone
- (206) 790-9963
- NPI assigned
- Aug 10, 2011
- Last updated
- Aug 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | X-07494 | NM | Primary |
| Clinical Social Worker | 1041C0700X | 27488 | CA |
Addresses
Primary practice location
404 11TH St SW
Albuquerque, NM 87102-2988
Mailing address
PO Box 4975
Albuquerque, NM 87196-4975
Phone (206) 790-9963
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X-07494 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1679852511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4975",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871964975",
"telephone_number": "206-790-9963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 11TH ST SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022988",
"telephone_number": "206-790-9963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "ALICE",
"credential": "LCSW, LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-10",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "X-07494",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "27488",
"primary": false
}
],
"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 Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.