Individual provider Active NPI

Aloysius Nawrocki, LISW

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1730141557
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
820 Southeast Cir NW
Albuquerque, NM 87104-1963
Phone
(505) 554-0169
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NM Primary

Addresses

Primary practice location

820 Southeast Cir NW
Albuquerque, NM 87104-1963

Mailing address

820 Southeast Cir NW
Albuquerque, NM 87104-1963
Phone (505) 554-0169

Other names 1

  • Dave Nawrocki Other 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
I20121002000149 NM Practitioner - Clinical Social Worker 4789833070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elemental Health and Wellness Center LLCGroup PAC ID 0446481881, 12 clinicians

Practice addresses (Care Compare)

4425 Juan Tabo Blvd NE
Suite 112
Albuquerque, NM 87111-2684
Phone (505) 503-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elemental Health and Wellness Center LLC Mental Health CurrentSince Jun 23, 2015 Accepting new patients

Locations

4425 Juan Tabo Blvd NE
Ste 112
Albuquerque, NM 87111
Phone (505) 503-6800

Organizations & group practices 1

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1730141557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SOUTHEAST CIR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041963",
            "telephone_number": "505-554-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SOUTHEAST CIR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041963",
            "telephone_number": "505-554-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAWROCKI",
        "first_name": "ALOYSIUS",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVE",
            "last_name": "NAWROCKI",
            "credential": "LISW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.