Andrew R Dubach, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-10748 Issued in NM

Practice address

11930 Menaul Blvd NE Ste 220a
Albuquerque, NM 87112-2461

Phone

(505) 401-0520

NPI assigned

May 26, 2016

Last updated

Jun 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Mexico Center for Empowerment and Mood Support LLC

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1508424987
  NPD (past) Authorized official

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1922456235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530B HARKLE RD # 100",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054739",
            "telephone_number": "505-401-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 MENAUL BLVD NE STE 220A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122461",
            "telephone_number": "505-401-0520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5741 Osuna Rd NE",
            "address_2": "617",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871092567",
            "country_code": "US",
            "telephone_number": "505-401-0520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1706 El Centro Familiar Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871054502",
            "country_code": "US",
            "telephone_number": "505-401-0520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBACH",
        "first_name": "ANDREW",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-09565",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09004513",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Duarte, RN
• Ramon Rosa Duarte, MD
• Rayna Duarte
• Yvonne Duarte, LCSW
• Katherine Ann Duba, NP
• Stewart Duban, MD
• Dublin Gulch Counseling and Consultation
• Amanda Dubois
• Paul Dubois
• Teresa A Dubuque, M.A.

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.