Individual provider Active NPI

Ambrose Baros, LCSW, LADAC

  • Clinical Social Worker
  • Rio Rancho, NM
National Provider Identifier
1710218516
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-10327 Issued in NM
Practice address
1740 Grande Blvd SE Ste B4
Rio Rancho, NM 87124-1799
Phone
(505) 417-5653
Fax
(505) 657-7725
NPI assigned
Jan 19, 2010
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAD0189011 NM
Clinical Social Worker 1041C0700X C-10327 NM Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

1740 Grande Blvd SE Ste B4
Rio Rancho, NM 87124-1799

Mailing address

3936 Mountain Trail Loop NE
Rio Rancho, NM 87144-7001
Phone (505) 927-1024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210929001949 VA Practitioner - Clinical Social Worker 4981001252 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CAD0189011NMMDAddiction (Substance Use Disorder) Counselor
C-10327NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jun 24, 2021 Accepting new patients
Mesa Luna Recovery, LLC Current Accepting new patients
Acb Counseling and Consulting, LLC Clinical PastSince Mar 20, 2025 Accepting new patients

Locations

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

509 Old Great Neck Rd
Ste 203
Virginia Beach, VA 23454
Phone (479) 381-7603

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1710218516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 MOUNTAIN TRAIL LOOP NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871447001",
            "telephone_number": "505-927-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 GRANDE BLVD SE STE B4",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241799",
            "telephone_number": "505-417-5653",
            "fax_number": "505-657-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAROS",
        "first_name": "AMBROSE",
        "credential": "LCSW, LADAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-19",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CAD0189011",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10327",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.