Individual provider Active NPI

Nicole Van Duyn, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1801458229
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2023-1126 Issued in NM
Practice address
120 Aliso Dr SE Ste G
Albuquerque, NM 87108-2693
Phone
(505) 591-9727
NPI assigned
Jul 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 35348 MN
Clinical Social Worker 1041C0700X L17699 OR
Clinical Social Worker 1041C0700X SWB-2023-1126 NM Primary

Addresses

Primary practice location

120 Aliso Dr SE Ste G
Albuquerque, NM 87108-2693

Mailing address

3604 Lafayette Dr NE Apt 1
Albuquerque, NM 87107-4356
Phone (505) 591-9727

Other practice location 1

730 E 38th St Ste 101
Minneapolis, MN 55407-5218
Phone (612) 293-8302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240503000265 NM Practitioner - Clinical Social Worker 6305286667 Reassigns benefits to 1 organization
I20260406000510 MN Practitioner - Clinical Social Worker 6305286667

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

730 E 38TH St
Suite 101
Minneapolis, MN 55407-5218

7525 Mitchell Rd
Suite 215
Eden Prairie, MN 55344-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2023-1126NMMDClinical Social Worker
L17699ORMDClinical Social Worker
35348MNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Skies Therapy LLC Clinical CurrentSince Sep 3, 2025 Accepting new patients
Talking Circles Therapy & Wellness CurrentSince Mar 6, 2024 Accepting new patients

Locations

120 Aliso Dr SE
Ste G
Albuquerque, NM 87108
Phone (412) 423-8227

4169 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 261-9770

Organizations & group practices 2

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": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1801458229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 LAFAYETTE DR NE APT 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074356",
            "telephone_number": "505-591-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ALISO DR SE STE G",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082693",
            "telephone_number": "505-591-9727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 E 38th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554075218",
            "country_code": "US",
            "telephone_number": "612-293-8302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DUYN",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "35348",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L17699",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-1126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.