Active NPI
Melissa J. Smith, LCSW
- Clinical Social Worker
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-10954
- Practice address
- 5608 Zuni Rd SE
Albuquerque, NM 87108-2926 - Phone
- (505) 262-6597
- Fax
- (505) 265-7074
- NPI assigned
- Feb 7, 2012
- Last updated
- Feb 10, 2020
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CSA0152111 | NM | |
| Clinical Social Worker | 1041C0700X | C-10954 | NM | Primary |
Addresses
Primary practice location
5608 Zuni Rd SE
Albuquerque, NM 87108-2926
Mailing address
5608 Zuni Rd SE
Albuquerque, NM 87108-2926
Phone (505) 262-6597
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Presbyterian Healthcare Services
Practice addresses (Care Compare)
8300 Constitution Ave NE
Albuquerque, NM 87110-7613
Phone (505) 291-2700
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSA0152111 | NM | MD | Addiction (Substance Use Disorder) Counselor |
| C-10954 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| The Life Link | Past | Accepting new patients |
Locations
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141
1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340
211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381
4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234
1202 Highway 60
Socorro, NM 87801
Phone (505) 835-1140
301 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-7000
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
dba Lincoln County Medical Center
- Critical Access Hospital
- Ruidoso, NM
- NPI 1558347708
-
dba Socorro General Hospital
- Critical Access Hospital
- Socorro, NM
- NPI 1790761138
-
dba Dr Dan C Trigg Memorial Hospital
- Critical Access Hospital
- Tucumcari, NM
- NPI 1962488304
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Community/Behavioral Health Agency
- Santa Fe, NM
- NPI 1841332400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1699047639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5608 ZUNI RD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871082926",
"telephone_number": "505-262-6597",
"fax_number": "505-265-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5608 ZUNI RD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871082926",
"telephone_number": "505-262-6597",
"fax_number": "505-265-7074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MELISSA",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-07",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "CSA0152111",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-10954",
"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 Feb 10, 2020; 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.