Rochelle Robyn Aguilar, LCSW – Clinical Social Worker

Key facts

NPI: 1770713752
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: C-08375 (NM)
Practice address: 2921 Carlisle Blvd NE Ste 101
Albuquerque, NM 87110-2850
Phone: (505) 888-9769
Fax: (505) 717-2988
NPI assigned: Jul 23, 2009
Sex: Female
Sole proprietor: Yes

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.

Five Sandoval Indian Pueblos, Inc. Community/Behavioral Health Agency · Bernalillo, NM · NPI 1689896284

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
C-08375	NM	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Five Sandoval Indian Pueblos, Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	C-08375	NM	Yes

Addresses

Primary practice location

2921 Carlisle Blvd NE Ste 101
Albuquerque, NM 87110-2850

Mailing address

2921 Carlisle Blvd NE Ste 101
Albuquerque, NM 87110-2850
Phone (505) 888-9769

Other identifiers

Identifier	Type	State	Issuer
53782755	Medicaid	NM

Other names

Rochelle Robyn Atencio Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 23, 2022.

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1770713752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 CARLISLE BLVD NE STE 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871102850",
            "telephone_number": "505-888-9769",
            "fax_number": "505-717-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 CARLISLE BLVD NE STE 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871102850",
            "telephone_number": "505-888-9769",
            "fax_number": "505-717-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "ROCHELLE",
        "middle_name": "ROBYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-08375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53782755",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROCHELLE",
            "last_name": "ATENCIO",
            "middle_name": "ROBYN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Clinical Social Worker in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.