Individual provider Active NPI

Bethany Pinsonneault, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1689140667
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2025-0071 Issued in NM
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

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
16931386MedicaidNM

Other names 1

  • Bethany Calderon Former name

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
I20250822001833 NM Practitioner - Clinical Social Worker 2163922311 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
Acceptance LLCGroup PAC ID 0143671107, 6 clinicians

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

LicenseStateTypeSpecialty
SWB-2022-1038NMMDSocial Worker
SWB-2025-0071NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Acceptance LLC Social Worker CurrentSince Jul 1, 2025 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.

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

Verify at the official NPI Registry.