Individual provider Active NPI

Jordan Rosenbluth, LCSW

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1831593748
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2025-1321 Issued in NM
Practice address
1990 E Lohman Ave Ste 209
Las Cruces, NM 88001-3172
Phone
(575) 405-0047
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SWB-2023-0994 NM
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X SWB-2025-1321 NM Primary
Social Worker 104100000X 110666 TX

Addresses

Primary practice location

1990 E Lohman Ave Ste 209
Las Cruces, NM 88001-3172

Mailing address

4656 Valentina Rd
Las Cruces, NM 88012-0855
Phone (828) 772-0128

Other practice location 1

4656 Valentina Rd
Las Cruces, NM 88012-0855
Phone (828) 772-0128

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
I20260112002025 NM Practitioner - Clinical Social Worker 9133605926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lighthouse Recovery LLCGroup PAC ID 2567987340, 2 clinicians

Practice addresses (Care Compare)

1990 E Lohman Ave
Suite 209
Las Cruces, NM 88001-3172
Phone (575) 405-0220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2023-0994NMMDSocial Worker
110666TXMDSocial Worker
SWB-2025-1321NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
NM Family Services LLC Mental Health CurrentSince Jan 6, 2026 Accepting new patients
NM Family Services LLC CurrentSince Jan 6, 2026 Accepting new patients
Balance and Bloom Behavioral Health LLC Mental Health CurrentSince Dec 7, 2025 Accepting new patients
Lighthouse Recovery LLC CurrentSince Jan 30, 2026 Accepting new patients
NM Integrated Solutions PastSince Jul 24, 2022 Accepting new patients

Locations

2801 Missouri Ave
Ste 22
Las Cruces, NM 88011
Phone (575) 636-2550

5312 Rio Bravo Dr
Ste 10
Sunland Park, NM 88008

Organizations & group practices 5

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": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1831593748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4656 VALENTINA RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880120855",
            "telephone_number": "828-772-0128",
            "fax_number": "828-772-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 E LOHMAN AVE STE 209",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013172",
            "telephone_number": "575-405-0047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4656 Valentina Rd",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880120855",
            "country_code": "US",
            "telephone_number": "828-772-0128",
            "fax_number": "828-772-0128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBLUTH",
        "first_name": "JORDAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "SWB-2023-0994",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2025-1321",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "110666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.