Active NPI
Michel Jean McQueen, LCSW
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1689175911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-10585
- Practice address
- 8601 Golf Course Rd NW
Albuquerque, NM 87114-5775 - Phone
- (505) 242-6919
- Fax
- (505) 242-6929
- NPI assigned
- Feb 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-10585 | NM | Primary |
Addresses
Primary practice location
8601 Golf Course Rd NW
Albuquerque, NM 87114-5775
Mailing address
1528 Five Points Rd SW
Albuquerque, NM 87105-3179
Phone (505) 242-6919
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 |
|---|---|---|---|
| C-10585 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Making an Impact LLC | Past | Accepting new patients | |
| Making an Impact LLC | Past | Accepting new patients | |
| Making an Impact LLC | Past | Accepting new patients | |
| Making an Impact LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Substance Abuse Rehabilitation Facility
- Rio Rancho, NM
- NPI 1023761673
-
- Substance Abuse Rehabilitation Facility
- Rio Rancho, NM
- NPI 1407554439
-
- Substance Abuse Rehabilitation Facility
- Rio Rancho, NM
- NPI 1447902192
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Albuquerque, NM
- NPI 1699427344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1689175911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 FIVE POINTS RD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871053179",
"telephone_number": "505-242-6919",
"fax_number": "505-242-6929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8601 GOLF COURSE RD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871145775",
"telephone_number": "505-242-6919",
"fax_number": "505-242-6929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUEEN",
"first_name": "MICHEL",
"middle_name": "JEAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-22",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-10585",
"primary": true
}
],
"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 Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.