Individual provider Active NPI

Sara Rhodes, PCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1689026577
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-10434 Issued in NM
Practice address
2001 N. Centro Familiar Rd SW
Albuquerque, NM 87105-4592
Phone
(505) 873-7400
NPI assigned
Jul 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X C-10434 NM Primary

Addresses

Primary practice location

2001 N. Centro Familiar Rd SW
Albuquerque, NM 87105-4592

Mailing address

4201 Carlisle Blvd NE
Albuquerque, NM 87107-4808
Phone (505) 717-1332

Other practice location 1

510 W 29th St
Cheyenne, WY 82001-2760
Phone (307) 632-9362

Other identifiers 1

IdentifierTypeStateIssuer
85-0224409OtherNMTAX ID

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
I20181128000206 NM Practitioner - Clinical Social Worker 5597009845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wise Mind CounselingGroup PAC ID 5193153526, 8 clinicians

Practice addresses (Care Compare)

2424 Juan Tabo Blvd NE
Albuquerque, NM 87112-1818
Phone (505) 317-3792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Community Healthcare, Inc. Current Accepting new patients
Wise Mind Counseling CurrentSince Mar 2, 2023 Accepting new patients

Locations

8214 2nd St NW
Ste C
Albuquerque, NM 87114
Phone (505) 317-3792

2424 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 317-3792

2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Phone (505) 873-7462

Organizations & group practices 2

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": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1689026577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074808",
            "telephone_number": "505-717-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N. CENTRO FAMILIAR RD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054592",
            "telephone_number": "505-873-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 W 29th St",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820012760",
            "country_code": "US",
            "telephone_number": "307-632-9362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODES",
        "first_name": "SARA",
        "credential": "PCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "85-0224409",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.