Individual provider Active NPI

Rebecca L. Newkirk, LMSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1891059424
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010256 Issued in VA
Practice address
7801 Academy Rd NE Ste 2-200
Albuquerque, NM 87109
Phone
(505) 262-9391
Fax
(505) 265-7860
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-08923 NM
Clinical Social Worker 1041C0700X 0904010256 VA Primary

Addresses

Primary practice location

7801 Academy Rd NE Ste 2-200
Albuquerque, NM 87109

Mailing address

7801 Academy Rd NE Ste 2-200
Albuquerque, NM 87109-3380
Phone (505) 262-9391

Other practice location 1

7801 Academy Rd NE Ste 2-200
Albuquerque, NM 87109-3380
Phone (505) 262-9391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C-08923NMMDClinical Social Worker
0904010256VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Newkirk, LLC Clinical Current Accepting new patients
The Community Lighthouse Past Accepting new patients

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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1891059424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 ACADEMY RD NE STE 2-200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093380",
            "telephone_number": "505-262-9391",
            "fax_number": "505-265-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 ACADEMY RD NE STE 2-200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-262-9391",
            "fax_number": "505-265-7860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7801 Academy Rd NE Ste 2-200",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871093380",
            "country_code": "US",
            "telephone_number": "505-262-9391",
            "fax_number": "505-265-7860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWKIRK",
        "first_name": "REBECCA",
        "middle_name": "L.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-08923",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.