Individual provider Active NPI

Jane Marilyn Einhorn

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1811909682
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0052 Issued in NM
Practice address
7415 Quail Springs PL NE
Albuquerque, NM 87113-1781
Phone
(505) 797-4766
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
Yes

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7415 Quail Springs PL NE
Albuquerque, NM 87113-1781

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
I20040216000282 NM Practitioner - Clinical Social Worker 7113812629 Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0052NMMDClinical Social Worker

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-0052 NM Primary

Addresses

NPPES NPI Registry

Primary practice location

7415 Quail Springs PL NE
Albuquerque, NM 87113-1781

Mailing address

7415 Quail Springs PL NE
Albuquerque, NM 87113-1781
Phone (505) 797-4766

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
09321853MedicaidNM

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811909682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 QUAIL SPRINGS PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131781",
            "telephone_number": "505-797-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 QUAIL SPRINGS PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131781",
            "telephone_number": "505-797-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EINHORN",
        "first_name": "JANE",
        "middle_name": "MARILYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-0052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09321853",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.