Mark Smith, SW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

I 4852 Issued in NM

Practice address

11300 Montgomery Blvd NE
Eldorado HS
Albuquerque, NM 87111-2602

Phone

(505) 296-4871

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1689703274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 MONTGOMERY BLVD NE",
            "address_2": "ELDORADO HS",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112602",
            "telephone_number": "505-296-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 MONTGOMERY BLVD NE",
            "address_2": "ELDORADO HS",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112602",
            "telephone_number": "505-296-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "credential": "SW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "I 4852",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "I 4852",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G 6365",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Ann Smith, M.D.
• Lisa Mardel Smith
• Lisa Marie Smith, B.A.
• Marcus Smith
• Marcy Smith, CNP
• Mark Alan Smith, A.R.N.P.
• Marla J Smith, LPCC
• Mary Elizabeth Smith, DOM
• Matthew WF Smith, MBA, CCC-A
• Maysen Smith, DO

• School Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• School Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.