Individual provider Active NPI

Michelle Knight, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1801320239
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-10304 Issued in NM
Practice address
4619 Greene St NW
Albuquerque, NM 87114-4895
Phone
(505) 899-9329
NPI assigned
Apr 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X M-08247 NM
Clinical Social Worker 1041C0700X C-10304 NM Primary

Addresses

Primary practice location

4619 Greene St NW
Albuquerque, NM 87114-4895

Mailing address

5732 Piedra Rd NW
Albuquerque, NM 87114-4735
Phone (505) 944-6004

Other practice location 1

4118 Central Ave SE Ste C
Albuquerque, NM 87108-1177
Phone (505) 554-3057

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
I20180611001511 NM Practitioner - Clinical Social Worker 4688929953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Counseling LLCGroup PAC ID 7113391319, 4 clinicians

Practice addresses (Care Compare)

4619 Greene St NW
Suite C
Albuquerque, NM 87114-4899
Phone (505) 899-9329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M-08247NMMDAddiction (Substance Use Disorder) Counselor
C-10304NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Counseling LLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

4619 Greene St NW
Ste C
Albuquerque, NM 87114
Phone (505) 226-2232

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1801320239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5732 PIEDRA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144735",
            "telephone_number": "505-944-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 GREENE ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144895",
            "telephone_number": "505-899-9329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4118 Central Ave SE Ste C",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871081177",
            "country_code": "US",
            "telephone_number": "505-554-3057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "M-08247",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.