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
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

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

Addresses

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

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

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0052NMMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.