Active NPI
Bethany Pinsonneault, LCSW
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1689140667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SWB-2025-0071
- Practice address
- 3150 Carlisle Blvd NE Ste 105
Albuquerque, NM 87110-1680 - Phone
- (505) 663-6053
- NPI assigned
- Oct 17, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SWB-2022-1038 | NM | |
| Clinical Social Worker | 1041C0700X | SWB-2025-0071 | NM | Primary |
Addresses
Primary practice location
3150 Carlisle Blvd NE Ste 105
Albuquerque, NM 87110-1680
Mailing address
3150 Carlisle Blvd NE Ste 105
Albuquerque, NM 87110-1680
Phone (505) 663-6053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16931386 | Medicaid | NM |
Other names 1
- Bethany Calderon
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
Enrollment records 1
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
Practice addresses (Care Compare)
500 Marquette Ave NW
Suite 360
Albuquerque, NM 87102-5317
Phone (505) 557-4656
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SWB-2022-1038 | NM | MD | Social Worker |
| SWB-2025-0071 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acceptance LLC | Social Worker | Current | Accepting new patients |
| Umoja Behavioral Health PC | Past | Accepting new patients |
Locations
500 Marquette Ave NW
Ste 360
Albuquerque, NM 87102
Phone (505) 557-4656
1500 Mountain Rd NW
Albuquerque, NM 87104
Phone (505) 557-4656
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albuquerque, NM
- NPI 1063989648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1689140667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150 CARLISLE BLVD NE STE 105",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101680",
"telephone_number": "505-663-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 CARLISLE BLVD NE STE 105",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101680",
"telephone_number": "505-663-6053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINSONNEAULT",
"first_name": "BETHANY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-17",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "SWB-2022-1038",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "SWB-2025-0071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16931386",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BETHANY",
"last_name": "CALDERON",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 28, 2025; 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.