Active NPI
Rebecca J. Zamora, LCSW
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1770038648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-06497A
- Practice address
- 3501 Atrisco Dr NW
Apt 218
Albuquerque, NM 87120-1490 - Phone
- (575) 418-8587
- NPI assigned
- Aug 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
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-06497A | NM | Primary |
Addresses
Primary practice location
3501 Atrisco Dr NW
Apt 218
Albuquerque, NM 87120-1490
Mailing address
3501 Atrisco Dr NW
Apt 218
Albuquerque, NM 87120-1490
Phone (575) 418-8587
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, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4004 Carlisle Blvd NE
Suite C3
Albuquerque, NM 87107-4565
Phone (505) 226-3042
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-06497A | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandia Sol Therapy LLC | Clinical | Current | Accepting new patients |
Locations
4004 Carlisle Blvd NE
Ste C3
Albuquerque, NM 87107
Phone (505) 226-3042
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": "1471824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1770038648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 ATRISCO DR NW",
"address_2": "APT 218",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871201490",
"telephone_number": "575-418-8587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 ATRISCO DR NW",
"address_2": "APT 218",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871201490",
"telephone_number": "575-418-8587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMORA",
"first_name": "REBECCA",
"middle_name": "J.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-22",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-06497A",
"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 Apr 8, 2019; 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.